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2010, Volume 26, Number 2, Page(s) 156-158
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DOI: 10.5146/tjpath.2010.01014 |
Type A Thymoma with Extensive Necrosis Mimicing Atypical Carcinoid Tumor: A Case Report |
Yetkin AĞAÇKIRAN1, Ersin GÜNAY2, Sibel GÜNAY2, Leyla MEMİŞ3, İrfan TAŞTEPE4 |
1Department of Pathology, M.H. Ataturk Chest Diseases and Thoracic Surgery Training and Research Hospital, ANKARA, TURKEY
2Department of Chest Diseases, M.H. Ataturk Chest Diseases and Thoracic Surgery Training and Research Hospital, ANKARA, TURKEY
3Department of Pathology, Gazi University, Faculty of Medicine, ANKARA, TURKEY
4Department of Thoracic Surgery, M.H. Ataturk Chest Diseases and Thoracic Surgery Training and Research Hospital, ANKARA, TURKEY |
Keywords:
Thymoma, Extensive necrosis, Carcinoid tumor |
Necrosis, infarction, haemorrhage and cystic degeneration in
thymoma are described mostly focally. Extensive cystic and necrotic
degenerations are reported very rarely. A 38-year-old female patient
was admitted to our hospital for right chest pain, cough and dyspnea of
3 months duration. Radiological investigations revealed a mass lesion
7x9 cm in diameter located in the anterior mediastinum without any
calcifications, septation or mediastinal extension. During operation,
a well encapsulated easily resectable large tumor tissue was observed.
Pathological examination was suggestive of Type A thymoma which
was challenging as regards the differential diagnosis of spindle cell
atypical carcinoid. This rare entity was discussed with a literature
survey.
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