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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