Skip to main content

Abstract

This chapter summarizes the nonneoplastic (inflammatory processes as well as congenital and acquired cysts) and neoplastic lesions (thymoma, thymic carcinomas, lymphomas, germ cell tumors, neurogenic tumors, and other soft tissue tumors) involving the mediastinum and thymus. Lymphoproliferative lesions and germ cell tumors resemble their counterparts outside the mediastinum. Thymomas are uncommon tumors which arise from the thymic epithelium. Although their behavior is generally indolent, they are capable of invasive growth and metastasis. The most commonly used system for thymoma classification (WHO) was refined in 2014 by the International Thymic Malignancy Interest Group (ITMIG), which introduced major and minor criteria to accurately classify subtypes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 299.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 449.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

SUGGESTED READING

General

  • Carter BW, Tomiyama N, Bhora FY, et al. A modern definition of mediastinal compartments. J Thorac Oncol. 2014;9:S97–101.

    Article  PubMed  Google Scholar 

  • Marchevsky AM, Wick MR, editors. Pathology of the mediastinum. New York: Cambridge University Press; 2014

    Google Scholar 

  • Rosai J. Mediastinum. In: Rosai J, editor. Rosai and Ackerman’s surgical pathology. 10th ed. St Louis: Mosby-Elsevier; 2011. p. 437–86.

    Google Scholar 

  • Strollo DC, Rosado-de-Christenson ML. State of the art—tumors of the thymus. J Thorac Imaging. 1999;14:152–71.

    Article  PubMed  CAS  Google Scholar 

  • Suster S, Rosai J. Histology of normal thymus. Am J Surg Pathol. 1990;14:284–303.

    Article  PubMed  CAS  Google Scholar 

  • Travis WD, Brambilla E, Burke AP, Marx A, Nicholson AG. WHO Classification of Tumours of the Lung, Pleura, Thymus and Heart. WHO Classification of Tumours. Lyon: IARC Press; 2015. pp. 183–298.

    Google Scholar 

Inflammation/Fibrosing Mediastinitis

  • Dines DE, Payne WS, Bernatz PW, et al. Mediastinal granuloma and fibrosing mediastinitis. Chest. 1979;75:320–4.

    Article  PubMed  CAS  Google Scholar 

  • Flieder DB, Suster S, Moran CA. Idiopathic fibroinflammatory (fibrosing/sclerosing) lesions of the mediastinum: a study of 30 cases with emphasis on morphologic heterogeneity. Mod Pathol. 1999;12:257–64.

    PubMed  CAS  Google Scholar 

  • Lloyd JE, Tillman BF, Atkinson JB, DesPrez RM. Mediastinal fibrosis complicating histoplasmosis. Medicine. 1988;67:295–310.

    Google Scholar 

  • McNeeley MF, Chung JH, Bhalla S, Godwin JD. Imaging of granulomatous fibrosing mediastinitis. AJR Am J Roentgenol. 2012;199:319–27.

    Article  PubMed  Google Scholar 

  • Peikert T, Shrestha B, Aubry MC, et al. Histopathologic overlap between fibrosing mediastinitis and IgG4-related disease. Int J Rheumatol. 2012;2012:207056.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  • Rossi SE, McAdams P, Rosado-de-Christenson ML, Franks TJ, Galvin JR. Fibrosing mediastinitis. Radiographics. 2001;21:737–57.

    Article  PubMed  CAS  Google Scholar 

  • Schroeyers P, Wellens F, Degrieck I, et al. Aggressive primary treatment for poststernotomy acute mediastinitis: our experience with omental- and muscle flaps surgery. Eur J Cardiothorac Surg. 2001;20:743–6.

    Article  PubMed  CAS  Google Scholar 

Cysts General

  • Wick MR. Mediastinal cysts and intrathoracic thyroid tumors. Semin Diagn Pathol. 1990;7:285–94.

    PubMed  CAS  Google Scholar 

Developmental

  • Nobuhara KK, Gorski YC, La Quaglia MP, Shamberger RC. Bronchogenic cysts and esophageal duplications: common origins and treatment. J Pediatr Surg. 1997;32:1408–13.

    Article  PubMed  CAS  Google Scholar 

  • Roma A, Varsegi M, Magi-Galluzzi C, et al. The distinction of bronchogenic cyst from metastatic testicular teratoma. Am J Clin Pathol. 2008;130:265–73.

    Article  PubMed  Google Scholar 

  • Sarper A, Ayten A, Golbasi I, et al. Bronchogenic cyst. Texas Heart Inst J. 2003;30:105–8.

    Google Scholar 

Pericardial

  • Lillie WI, McDonald JR, Clagett OT. Pericardial coelomic cysts and pericardial diverticula. A concept of etiology and report of cases. J Thorac Surg. 1950;20:494–504.

    PubMed  CAS  Google Scholar 

Thymic

  • Suster S, Barbato D, Carlson S, et al. Multilocular thymic cysts with pseudoepitheliomatous hyperplasia. Hum Pathol. 1991;22:455–60.

    Article  PubMed  CAS  Google Scholar 

  • Suster S, Rosai J. Multilocular thymic cyst. An acquired reactive process: study of 18 cases. Am J Surg Pathol. 1991a;15:388–98.

    Article  PubMed  CAS  Google Scholar 

  • Weissferdt A, Moran CA. Thymic carcinoma associated with multilocular thymic cyst: a clinicopathologic study of 7 cases. Am J Surg Pathol. 2011;35:1074–9.

    Article  PubMed  Google Scholar 

Nonneoplastic Lesions of Thymus

  • Berry CL, Thompson EN. Clinico-pathological study of thymic dysplasia. Arch Dis Child. 1968;43:579–84.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  • Parrens M, Dubus P, Danjoux M, et al. Mucosa-associated lymphoid tissue of the thymus – hyperplasia vs lymphoma. Am J Clin Pathol. 2002;117:51–6.

    Article  PubMed  Google Scholar 

  • Singla S, Litzky LA, Kaiser LR, Shrager JB. Should asymptomatic enlarged thymus glands be resected? J Thorac Cardiovasc Surg. 2010;140:977–83.

    Article  PubMed  Google Scholar 

  • Van Baarlen J, Schuurman H-J, Huber J. Acute thymus involution in infancy and childhood: reliable marker for duration of acute illness. Hum Pathol. 1988;19:1155–60.

    Article  PubMed  Google Scholar 

Lesions Mimicking Mediastinal Tumors

  • Hedayati N, McHenry CR. The clinical presentation and operative management of nodular and diffuse substernal thyroid disease. Am Surg. 2002;68:245–51.

    PubMed  Google Scholar 

  • Takashima S, Nakano H, Minamoto K, et al. A thoracoscopically resected case of mediastinal parathyroid cyst. Acta Med Okayama. 2005;59:165–70.

    PubMed  Google Scholar 

Pneumomediastinum

Thymoma

  • Addis BJ, den Bakker MA. Classifying thymomas. Histopathology. 2008;52:759–66.

    Article  PubMed  CAS  Google Scholar 

  • Chalabreysse L, Roy P, Cordier JF, Loire R, Gamondes JP, Thivolet-Bejui F. Correlation of the WHO schema for the classification of thymic epithelial neoplasms with prognosis: a retrospective study of 90 tumors. Am J Surg Pathol. 2002;26:1605–11.

    Article  PubMed  Google Scholar 

  • Chen G, Marx A, Wen-Hu C, Yong J, Puppe B, Stroebel P, et al. New WHO histologic classification predicts prognosis of thymic epithelial tumors: a clinicopathologic study of 200 thymoma cases from China. Cancer. 2002;95:420–9.

    Article  PubMed  Google Scholar 

  • Den Bakker MA, Roden AC, Marx A, Marino M. Histologic classification of thymoma: a practical guide for routine cases. J Thorac Oncol. 2014;9:S125–30.

    Article  Google Scholar 

  • Detterbeck FC, Stratton K, Giroux D, et al. The IASLC/ITMIG Thymic Epithelial Tumors Staging Project: proposal for an evidence-based stage classification system for the forthcoming (8th) edition of the TNM classification of malignant tumors. J Thorac Oncol. 2014;9:S65–72.

    Article  PubMed  Google Scholar 

  • Evoli A, Lancaster E. Paraneoplastic disorders in thymoma patients. J Thorac Oncol. 2014;9:S143–7.

    Article  PubMed Central  PubMed  Google Scholar 

  • Fukai I, Masaoka A, Hashimoto T, et al. Immunohistologic study of epithelial components of 81 cases of thymoma. Cancer. 1992;69:2463–8.

    Article  PubMed  CAS  Google Scholar 

  • Kirchner T, Schalke D, Buchwald J, et al. Well-differentiated thymic carcinoma. An organotypical low grade carcinoma with relationship to cortical thymoma. Am J Surg Pathol. 1992;16:1153–69.

    Article  PubMed  CAS  Google Scholar 

  • Kondo K, Van Schil P, Detterbeck FC, et al. The IASLC/ITMIG thymic epithelial tumors staging project: proposals for the N and M components for the forthcoming (8th) edition of the TNM classification of malignant tumors. J Thorac Oncol. 2014;9:S81–7.

    Article  PubMed  Google Scholar 

  • Kuo T, Lo S. Thymoma: study of pathologic classification of 71 cases with evaluation of Muller-Hermelink system. Hum Pathol. 1993;24:766–71.

    Article  PubMed  CAS  Google Scholar 

  • Marx A, Muller-Hermelink HK. From basic immunobiology to the upcoming WHO-classification of tumors of the thymus. The second conference on biological and clinical aspects of thymic epithelial tumors and related recent developments. Pathol Res Pract. 1999;195:515–33.

    Article  PubMed  CAS  Google Scholar 

  • Marx A, Strobel P, Badve S, et al. ITMIG consensus statement on the use of the WHO histological classification of thymoma and thymic carcinoma: refined definitions, histological criteria and reporting. J Thorac Oncol. 2014a;9:596–611.

    Article  PubMed  CAS  Google Scholar 

  • Masaoka A. Staging system of thymoma. J Thorac Oncol. 2010;5:S304–12.

    Article  PubMed  Google Scholar 

  • Moran CA, Walsh G, Suster S, Kaiser L. Thymomas II: a clinicopathologic correlation of 250 cases with emphasis on pathologic assessment. Am J Clin Pathol. 2012a;137:451–61.

    Article  PubMed  Google Scholar 

  • Moran CA, Weissferdt A, Kalhor N, et al. Thymomas I: the clinicopathologic correlation of 250 cases with emphasis on the World Health Organization Schema. Am J Clin Pathol. 2012b;137:444–50.

    Article  PubMed  Google Scholar 

  • Morgenthaler TI, Brown LR, Colby TV, et al. Thymoma. Mayo Clin Proc. 1993;68:1110–23.

    Article  PubMed  CAS  Google Scholar 

  • Muller-Hermelink HK, Marx A. Pathological aspects of malignant and benign thymic disorders. Ann Med. 1999;31:5–14.

    PubMed  Google Scholar 

  • Nicholson AG, Detterbeck FC, Marino M, et al. The IASLC/ITMIG Thymic Epithelial Tumors Staging Project: proposals for the T component for the forthcoming (8th) edition of the TNM classification of malignant tumors. J Thorac Oncol. 2014;9:S73–80.

    Article  PubMed  Google Scholar 

  • Nonaka D, Henley JD, Chiriboga L, Yee H. Diagnostic utility of thymic epithelial markers CD205 (DEC205) and Foxn1 in thymic epithelial neoplasms. Am J Surg Pathol. 2007;31:1038–44.

    Article  PubMed  Google Scholar 

  • Okumura M, Miyoshi S, Fujii Y, Takeuchi Y, Shiono H, Inoue M, et al. Clinical and functional significance of WHO classification on human thymic epithelial neoplasms: a study of 146 consecutive tumors. Am J Surg Pathol. 2001;25:103–10.

    Article  PubMed  CAS  Google Scholar 

  • Pescarmona E, Rendina EA, Venuta F, et al. The prognostic implication of thymoma histologic subtyping: study of 80 consecutive cases. Am J Clin Pathol. 1990;93:190–5.

    PubMed  CAS  Google Scholar 

  • Quintanilla-Martinez L, Wilkins Jr EW, Ferry JA, et al. Thymomamorphologic subclassification correlates with invasiveness and immuno-histologic features: study of 122 cases. Hum Pathol. 1993;24:958–69.

    Article  PubMed  CAS  Google Scholar 

  • Rajan A, Girard N, Marx A. State of the art of genetic alterations in thymic epithelial tumors. J Thorac Oncol. 2014;9:S131–6.

    Article  PubMed  Google Scholar 

  • Shimosato Y. Controversies surrounding subclassification of thymoma. Cancer. 1994;74:542–4.

    Article  PubMed  CAS  Google Scholar 

  • Suster S, Rosai J. Cystic thymomas. A clinicopathologic study of ten cases. Cancer. 1992;69:92–7.

    Article  PubMed  CAS  Google Scholar 

  • Suster S, Moran CA. Histologic classification of thymoma: the World Health Organization and beyond. Hematol Oncol Clin North Am. 2008;22:381–92.

    Article  PubMed  Google Scholar 

  • Tomaszek S, Wigle DA, Keshavjee S, Fischer S. Thymomas: review of current clinical practice. Ann Thorac Surg. 2009;87:1973–80.

    Article  PubMed Central  PubMed  Google Scholar 

  • Wu M, Sun K, Gil J, Gan L, Burstein DE. Immunohistochemical detection of p63 and XIAP in thymic hyperplasia and thymomas. Am J Clin Pathol. 2009;131:689–93.

    Article  PubMed  Google Scholar 

Thymic Carcinoma

  • Berezowski K, Grimes MM, Gal A, et al. CD5 immunoreactivity of epithelial cells in thymic carcinoma and CASTLE using paraffin-embedded tissue. Am J Clin Pathol. 1996;106:483–6.

    PubMed  CAS  Google Scholar 

  • Brown JG, Familiari U, Papotti M, Rosai J. Thymic basaloid carcinoma: a clinicopathologic study of 12 cases. With a general discussion of basa-loid carcinoma and its relationship with adenoid cystic carcinoma. Am J Surg Pathol. 2009;33:1113–24.

    Article  PubMed  Google Scholar 

  • Dorfman DM, Shahsafaei A, Chan JK. Thymic carcinomas, but not thymomas and carcinomas of other sites, show CD5 immunoreactivity. Am J Surg Pathol. 1997;21:936–40.

    Article  PubMed  CAS  Google Scholar 

  • Hasserjian RP, Klimstra DS, Rosai J. Carcinoma of thymus with clear cell features: report of eight cases and review of literature. Am J Surg Pathol. 1995;19:835–41.

    Article  PubMed  CAS  Google Scholar 

  • Kornstein MJ, Rosai J. CD5 labeling of thymic carcinomas and other non-lymphoid neoplasms. Am J Clin Pathol. 1998;109:722–6.

    PubMed  CAS  Google Scholar 

  • Marx A, Strobel P, Badve S, et al. ITMIG consensus statement on the use of the WHO histological classification of thymoma and thymic carcinoma: refined definitions, histological criteria and reporting. J Thorac Oncol. 2014b;9:596–611.

    Article  PubMed  CAS  Google Scholar 

  • Marx A, Strobel P, Zettl A, et al. Thymomas. In: Travis WD, Brambilla E, Muller-Hermelink HK, et al, editors. Pathology and genetics. Tumours of the lung, pleura, thymus and heart. WHO classification of tumours. Lyon: IARC Press; 2004. p. 152–153.

    Google Scholar 

  • Moran CA, Suster S. Mucoepidermoid carcinomas of thymus: a clinico-pathologic study of six cases. Am J Surg Pathol. 1995a;19:826–34.

    Article  PubMed  CAS  Google Scholar 

  • Moran CA, Suster S. Thymic carcinoma: current concepts and histologic features. Hematol Oncol Clin North Am. 2008;22:393–407.

    Article  PubMed  Google Scholar 

  • Muller-Hermelink HK, Engel P, Kuo TT, et al. Tumours of the thymus: introduction. In: Travis WD, Brambilla E, Muller-Hermelink HK, et al, editors. Pathology and genetics. Tumours of the lung, pleura, thymus and heart. WHO classification of tumours. Lyon: IARC Press; 2004. p. 148–51.

    Google Scholar 

  • Ritter JH, Wick MR. Primary carcinomas of the thymus gland. Semin Diagn Pathol. 1999;16:18–31.

    PubMed  CAS  Google Scholar 

  • Suster S. Thymic carcinoma: update of current diagnostic criteria and histologic types. Semin Diagn Pathol. 2005;22:198–212.

    Article  PubMed  Google Scholar 

  • Suster S, Rosai J. Thymic carcinoma clinicopathologic study of 60 cases. Cancer. 1991b;67:1025–32.

    Article  PubMed  CAS  Google Scholar 

  • Wick MR, Scheithauer BW. Oat-cell carcinoma of thymus. Cancer. 1982;49:1652–7.

    Article  PubMed  CAS  Google Scholar 

Thymic Carcinoid Tumor

  • Moran CA. Primary neuroendocrine carcinomas of the mediastinum: review of current criteria for histopathologic diagnosis and classification. Semin Diagn Pathol. 2005;22:223–9.

    Article  PubMed  Google Scholar 

  • Weissferdt A, Kalhor N, Liu H, et al. Thymic neuroendocrine tumors (paragangliomas and carcinoid tumors): a comparative immunohistochemical study of 46 cases. Hum Pathol. 2014;45:2463–70.

    Article  PubMed  Google Scholar 

Thymic Stromal Tumors

  • Moran CA, Rosado-de-christenson M, Suster S. Thymolipoma: clinico-pathologic review of 33 cases. Mod Pathol. 1995;8:741–4.

    PubMed  CAS  Google Scholar 

Neurogenic Tumors

  • Lonergan GF, Schwab CM, Suarez ES, Carlson CL. From the archives of the AFIP. Neuroblastoma, ganglioneuroblastoma, and ganglioneuroma: radiologic-pathologic correlation. Radiographics. 2012;22:911–34.

    Article  Google Scholar 

Paragangliomas

  • Brown ML, Zayas GE, Abel MD, et al. Mediastinal paragangliomas: the Mayo Clinic experience. Ann Thorac Surg. 2008;86:946–51.

    Article  PubMed  Google Scholar 

  • Odze R, Begin LR. Malignant paraganglioma of posterior mediastinum case report and review of literature. Cancer. 1990;65:564–9.

    Article  PubMed  CAS  Google Scholar 

Mediastinum Germ Cell Tumors

  • den Bakker MA, Oosterhuis JW. Tumours and tumour-like conditions of the thymus other than thymoma; a practical approach. Histopathology. 2009;54:69–89.

    Article  Google Scholar 

  • de Ment SH. Association between mediastinal germ cell tumors and hematologic malignancies: update. Hum Pathol. 1990;21:699–703.

    Article  Google Scholar 

  • Kao C-S, Idrees MT, Young RH, Ulbright TM. Solid pattern yolk sac tumor: a morphologic and immunohistochemistry study of 52 cases. Am J Surg Pathol. 2012;36:360–7.

    Article  PubMed  Google Scholar 

  • Moran CA, Suster S. Mediastinal seminomas with prominent cystic changes. A clinicopathologic study of 10 cases. Am J Surg Pathol. 1995b;19:1047–53.

    Article  PubMed  CAS  Google Scholar 

  • Moran CA, Suster S. Primary germ cell tumors of the mediastinum: I. Analysis of 322 cases with special emphasis on teratomatous lesions and a proposal for histopathologic classification and clinical staging. Cancer. 1997;80:681–90.

    Article  PubMed  CAS  Google Scholar 

  • Moran CA, Suster S, Koss MN. Primary germ cell tumors of the mediastinum. III. Yolk sac tumor, embryonal carcinoma, choriocarcinoma, and combined nonteratomatous germ cell tumors of the mediastinum—a clinicopathologic and immunohistochemical study of 64 cases. Cancer. 1997;80:699–707.

    Article  PubMed  CAS  Google Scholar 

  • Patel IJ, Hsiao E, Ahmad AH, et al. AIRP best cases in radiologic-pathologic correlation. Mediastinal mature cystic teratoma. Radiographics. 2013;33:797–801.

    Article  PubMed  Google Scholar 

  • Sung M-T, MacLennan GT, Lopez-Beltran A, Zhang S, Montironi R, Cheng L. Primary mediastinal seminoma: a comprehensive assessment integrated with histology, immunohistochemistry, and fluorescence in situ hybridization for chromosome 12p abnormalities in 23 cases. Am J Surg Pathol. 2008;21:146–55.

    Article  Google Scholar 

  • Weissferdt A, Moran CA. Mediastinal seminoma with florid follicular lymphoid hyperplasia: a clinicopathological and immunohistochemical study of six cases. Virchows Arch. 2015;466:209–15.

    Article  PubMed  CAS  Google Scholar 

  • Weissferdt A, Suster S, Moran CA. Primary mediastinal “thymic” seminomas. Adv Anat Pathol. 2012;19:75–80.

    Article  PubMed  Google Scholar 

Mediastinum Lymphoproliferative and Myeloproliferative Disorders

  • Cronin DMP, Warnke RA. Castleman disease: an update on classification and the spectrum of associated lesions. Adv Anat Pathol. 2009;16:236–46.

    Article  PubMed  Google Scholar 

  • Inagaki H, Chan JKC, Ng JWM, et al. Primary thymic extranodal marginal-zone B-cell lymphoma of mucosa-associated lymphoid tissue type exhibits distinctive clinicopathological and molecular features. Am J Pathol. 2002;160:1435–43.

    Article  PubMed Central  PubMed  Google Scholar 

  • Isaacson PG, Chan JK, Tang C, et al. Low grade B-cell lymphoma of mucosa-associated lymphoid tissue arising in the thymus. A thymic lymphoma mimicking myoepithelial sialadenitis. Am J Surg Pathol. 1990;14:342–51.

    Article  PubMed  CAS  Google Scholar 

  • Lamarre L, Jacobson JO, Aisenberg AC, et al. Primary large cell lymphoma of mediastinum. A histologic and immunophenotypic study of 29 cases. Am J Surg Pathol. 1989;13:730–9.

    Article  PubMed  CAS  Google Scholar 

  • Pileri SA, Gaidano G, Zinzani PL, Falini B, Gaulard P, Zucca E, et al. Primary mediastinal B-cell lymphoma: high frequency of BCL-6 mutations and consistent expression of the transcription factors OCT-2, BOB.1, and PU.1 in the absence of immunoglobulins. Am J Pathol. 2003;162:243–53.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  • Quintanilla-Martinez L, Fend F. Mediastinal gray zone lymphoma. Haematologica. 2011;96:496–9.

    Article  PubMed Central  PubMed  Google Scholar 

  • Swerdlow SH, Campo E, Harris NL, et al, editors. WHO classification of tumours of haematopoietic and lymphoid tissues. WHO classification of tumours. Lyon: IARC Press; 2008.

    Google Scholar 

Mediastinum Mesenchymal Tumors

  • Boland JM, Colby TV, Folpe AL. Liposarcomas of the mediastinum and thorax: a clinicopathologic and molecular cytogenetic study of 24 cases, emphasizing unusual and diverse histologic features. Am J Surg Pathol. 2012;36:1395–403.

    Article  PubMed  Google Scholar 

  • Brown LR, Reiman HM, Rosenow III EC, et al. Intrathoracic lymphangioma. Mayo Clin Proc. 1986;61:882–92.

    Article  PubMed  CAS  Google Scholar 

  • Cheng LSL, Tse GMK, Li WWL, Lee TW, Yim APC. Mediastinal synovial sarcoma: a case report and literature review. Can Respir J. 2003;10:393–5.

    PubMed  Google Scholar 

  • Hanau CA, Miettinen M. Solitary fibrous tumor: histological and immunohistochemical spectrum of benign and malignant variants presenting at different sites. Hum Pathol. 1995;26:440–9.

    Article  PubMed  CAS  Google Scholar 

  • Kubokura H, Okamoto J, Hoshina H, et al. Mediastinal cystic hemangioma presenting as bilateral bloody pleural effusion: a case study. J Nippon Med Sch. 2012;79:381–4.

    Article  PubMed  Google Scholar 

  • Ortega P, Suster D, Falconieri G, et al. Liposarcomas of the posterior mediastinum: clinicopathologic study of 18 cases. Mod Pathol. 2014;28:721–31.

    Article  PubMed  CAS  Google Scholar 

  • Ryu Y-J, Yoo S, Jung M, et al. Embryonal rhabdomyosarcoma arising from a mediastinal teratoma: an unusual case report. J Korean Med Sci. 2013;28:476–9.

    Article  PubMed Central  PubMed  Google Scholar 

  • Salah S, Salem A. Primary synovial sarcomas of the mediastinum: a systematic review and pooled analysis of the published literature. ISRN Oncol. 2014;2014:412527.

    PubMed Central  PubMed  Google Scholar 

  • Witkin GB, Rosai J. Solitary fibrous tumor of the mediastinum. A report of 14 cases. Am J Surg Pathol. 1989;13:547–57.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joseph F. Tomashefski Jr. MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Chang, CC.(., Fanaian, N., Tomashefski, J.F. (2016). Mediastinum and Thymus. In: Cheng, L., Bostwick, D. (eds) Essentials of Anatomic Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-23380-2_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-23380-2_26

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23379-6

  • Online ISBN: 978-3-319-23380-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics