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Rare case of subcarinal thymic carcinoma in the middle mediastinum.

Vernon J, Schieman C, Schneider L, Hanna WC - J Surg Case Rep (2015)

Bottom Line: A 6.2 × 5 cm mass was detected on computed tomography scan and found to be hypermetabolic on positron emission tomography scan.Transbronchial biopsy was performed and the mass was found to be suspicious for malignancy.A thoracoscopic resection of the mass was performed and found to be thymic carcinoma.

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Affiliation: Division of Thoracic Surgery, St. Joseph's Healthcare Hamilton, McMaster University, Hamilton, ON, Canada.

No MeSH data available.


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Subcarinal tumor on preoperative CT of the chest, coronal cuts.
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RJV030F1: Subcarinal tumor on preoperative CT of the chest, coronal cuts.

Mentions: A 55-year-old Caucasian female presented with productive cough, dyspnea, chest pain and weight loss. The patient's medical history was significant for hypertension, hypercholesterolemia, dyslipidemia, chronic renal failure, gastroesophageal reflux disease and chronic anemia. She was a 30 pack-year smoker and her mother was diagnosed with lung cancer. Her physical examination was unremarkable. An initial chest X-ray showed a large subcarinal mass. On computed tomography (CT), a 6.2 × 5 cm tumor was detected in the subcarinal area (Figs 1 and 2). A bronchoscopy with transbronchial biopsy was performed, and the resulting pathological analysis was suspicious for malignant cells; however, no specific tumor type was identified. A positron emission tomography scan showed a large hypermetabolic subcarinal lesion with a standard uptake value of 14.3, consistent with malignancy. The differential diagnosis at the time included an infected bronchogenic cyst, esophageal duplication cyst or a malignant subcarinal lymph node. Thoracoscopic surgical resection was planned for diagnostic and therapeutic purposes.Figure 1:


Rare case of subcarinal thymic carcinoma in the middle mediastinum.

Vernon J, Schieman C, Schneider L, Hanna WC - J Surg Case Rep (2015)

Subcarinal tumor on preoperative CT of the chest, coronal cuts.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374093&req=5

RJV030F1: Subcarinal tumor on preoperative CT of the chest, coronal cuts.
Mentions: A 55-year-old Caucasian female presented with productive cough, dyspnea, chest pain and weight loss. The patient's medical history was significant for hypertension, hypercholesterolemia, dyslipidemia, chronic renal failure, gastroesophageal reflux disease and chronic anemia. She was a 30 pack-year smoker and her mother was diagnosed with lung cancer. Her physical examination was unremarkable. An initial chest X-ray showed a large subcarinal mass. On computed tomography (CT), a 6.2 × 5 cm tumor was detected in the subcarinal area (Figs 1 and 2). A bronchoscopy with transbronchial biopsy was performed, and the resulting pathological analysis was suspicious for malignant cells; however, no specific tumor type was identified. A positron emission tomography scan showed a large hypermetabolic subcarinal lesion with a standard uptake value of 14.3, consistent with malignancy. The differential diagnosis at the time included an infected bronchogenic cyst, esophageal duplication cyst or a malignant subcarinal lymph node. Thoracoscopic surgical resection was planned for diagnostic and therapeutic purposes.Figure 1:

Bottom Line: A 6.2 × 5 cm mass was detected on computed tomography scan and found to be hypermetabolic on positron emission tomography scan.Transbronchial biopsy was performed and the mass was found to be suspicious for malignancy.A thoracoscopic resection of the mass was performed and found to be thymic carcinoma.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Thoracic Surgery, St. Joseph's Healthcare Hamilton, McMaster University, Hamilton, ON, Canada.

No MeSH data available.


Related in: MedlinePlus