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Eur J Cardiothorac Surg 2003;24:1029
© 2003 Elsevier Science NL


Images in cardio-thoracic surgery

Giant thymoma

Sandeep Agarwalaa, Esther Millwardb, Kostas Papagiannopoulosa*

a Department of Cardiothoracic Surgery, Leeds General Infirmary, Jubilee Building, Level D, Great George Street, Leeds, West Yorkshire LS1 3EX, UK
b Department of Histopathology, Leeds General Infirmary, Jubilee Building, Level D, Great George Street, Leeds, West Yorkshire LS1 3EX, UK

Received 10 June 2003; received in revised form 15 August 2003; accepted 20 August 2003.

* Corresponding author. Tel.: +41-113-392-5194; fax: +41-113-392-8436
e-mail: kostas.papagiannopoulos{at}leedsth.nhs.uk

Key Words: Thymoma • Mediastinal mass • Sternotomy

Sixty-five years old asymptomatic patient presented with large anterior mediastinal mass (Fig. 1) . FNAB revealed cortical thymoma. On resection it measured 20x16x9 cm, weighed 1645 g and histopathology confirmed it to be thymoma (WHO type ‘AB’) (Fig. 2) . Although thymomas can present as large masses, symptoms and stage do not always correlate with tumour size.



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Fig. 1. Chest X-ray showing a large mediastinal mass with contrast computed tomography scan as insert showing massive anterior mediastinal mass occupying most of the left pleural space.

 


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Fig. 2. Histopathology showing medullary areas of the mixed cortical and medullary thymoma with the picture of gross specimen as insert.

 




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