Cornel Savu1,2, Alexandru Melinte1, Alexandru Gibu1, Ionut Hallabrin1, Alexandru Zafiu1, Vasilica-Adrian Tudor1, Camelia Diaconu3,4, Florentina Gherghiceanu5, Florentina Furtunescu6, Daniel Radavoi7,8, Irina Balescu9, Nicolae Bacalbasa10,11. 1. Department of Thoracic Surgery, "Marius Nasta" National Institute of Pneumology, Bucharest, Romania. 2. Department of Thoracic Surgery, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. 3. Department of Internal Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. 4. Department of Internal Medicine, Clinical Emergency Hospital of Bucharest, Bucharest, Romania. 5. Department of Marketing and Medical Technology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. 6. Department of Public Health and Management University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania. 7. Department of Urology, "Prof. Dr. Th. Burghele" Clinical Hospital, Bucharest, Romania. 8. Department of Urology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. 9. Department of Surgery, "Ponderas" Academic Hospital, Bucharest, Romania. 10. Department of Obstetrics and Gynecology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. 11. Department of Visceral Surgery, Center of Excellence in Translational Medicine "Fundeni" Clinical Institute, Bucharest, Romania.
Abstract
Background/Aim: Thymomas are a rare type of mediastinal tumors with a slow growth rate. Because of this, they are well tolerated and patients usually present with large masses, which can extend in either of the thoracic cavities. The surgical approach for such tumors is dictated by the size and localization of the mass. Case Report: We present the case of a patient with a large thymoma, resected through surgery performed by left antero-lateral thoracotomy. The patient presented in our clinic with a persistent cough, dyspnea, chest pain and tightness. Standard thoracic X-ray revealed a bilateral increase in size of the mediastinal shadow, mainly on the left side, with well-defined margins and subcostal intensity. A thoracic computed tomography (CT) scan discovered a tumoral mass within the antero-superior mediastinum, with compression of the mediastinal organs; presentation being suggestive for a thymoma. Surgery was performed, removing a 15/13/10 cm thymoma with a weight of 1126 g. Pathological examination as well as immunohistochemistry confirmed our diagnosis of type AB thymoma, stage I Masaoka-Koga. Conclusion: In conclusion, surgical treatment remains the main therapeutic option in thymomas, but it is often difficult to perform due to tumor size and local invasion. However, even in large thymomas of stages I and II, surgery can be performed using an antero-lateral thoracotomy. Copyright 2021, International Institute of Anticancer Research.
Background/Aim: Thymomas are a rare type of mediastinal tumors with a slow growth rate. Because of this, they are well tolerated and patients usually present with large masses, which can extend in either of the thoracic cavities. The surgical approach for such tumors is dictated by the size and localization of the mass. Case Report: We present the case of a patient with a large thymoma, resected through surgery performed by left antero-lateral thoracotomy. The patient presented in our clinic with a persistent cough, dyspnea, chest pain and tightness. Standard thoracic X-ray revealed a bilateral increase in size of the mediastinal shadow, mainly on the left side, with well-defined margins and subcostal intensity. A thoracic computed tomography (CT) scan discovered a tumoral mass within the antero-superior mediastinum, with compression of the mediastinal organs; presentation being suggestive for a thymoma. Surgery was performed, removing a 15/13/10 cm thymoma with a weight of 1126 g. Pathological examination as well as immunohistochemistry confirmed our diagnosis of type AB thymoma, stage I Masaoka-Koga. Conclusion: In conclusion, surgical treatment remains the main therapeutic option in thymomas, but it is often difficult to perform due to tumor size and local invasion. However, even in large thymomas of stages I and II, surgery can be performed using an antero-lateral thoracotomy. Copyright 2021, International Institute of Anticancer Research.
Entities:
Keywords:
WHO prognosis; antero-lateral thoracotomy; staging; thymoma; thymoma type
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