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Rapid enlargement of a mediastinal mass: thymoma hemorrhage into a thymic cyst

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Abstract

A 52-year-old man was admitted to Matsudo City Hospital because of an anterior mediastinal mass. One month prior, when he suddenly suffered chest pain, computed tomography (CT) showed a 4 × 3 cm mass in the chest. On admission, the symptom disappeared. However, chest CT revealed rapid enlargement of the mass to 10 × 6 cm. Based on the CT findings, we suspected a tumor. Therefore, we performed a thymothymectomy. The mass, measuring 12 × 8 × 6 cm, contained a solid tumor and a fl uid-filled cyst. Pathology showed a thymoma and a multilocular thymic cyst. We speculated that hemorrhage from the thymoma spread into the multilocular thymic cyst and enlarged the mass.

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Authors and Affiliations

  1. Department of Chest Surgery, Matsudo City Hospital, 4005 Kamihongo, Matsudo, Chiba, 271-8511, Japan

    Taiki Fujiwara, Teruaki Mizobuchi & Naomichi Iwai

  2. Department of Pathology, Matsudo City Hospital, Chiba, Japan

    Masahiro Noro

Authors
  1. Taiki Fujiwara
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  2. Teruaki Mizobuchi
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  3. Masahiro Noro
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  4. Naomichi Iwai
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Correspondence to Taiki Fujiwara.

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Fujiwara, T., Mizobuchi, T., Noro, M. et al. Rapid enlargement of a mediastinal mass: thymoma hemorrhage into a thymic cyst. Gen Thorac Cardiovasc Surg 56, 472–475 (2008). https://doi.org/10.1007/s11748-008-0278-z

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  • DOI: https://doi.org/10.1007/s11748-008-0278-z

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