Giant cystic thymoma with haemorrhage and necrosis: An unusual case.

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Date
2009-04
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Abstract
Extreme degree of cystic, haemorrhagic and necrotic changes in a thymoma is rare. A 22-year-old male presented with cough, grade 2 dyspnoea, and occasional chest pain for the past six months. Radiological investigations revealed a large cystic lesion in the anterior mediastinum. A benign cystic tumour was suspected. Surgical resection of the tumour was done. Grossly, the almost entirely cystic and haemorrhagic dumb-bell shaped encapsulated tumour showed a subcapsular residual nodule. Histopathological examination was suggestive diagnosis of benign thymoma (World Health Organization [WHO] Type A, medullary type) associated with the rare features of cells with dendritic processes containing melanin pigment seen singly scattered throughout the tumour.
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Keywords
Thymoma, Mediastinum, Cystic, Haemorrhage, Necrosis
Citation
Pai Radha R, Sahu Kausalya, Shetty A B, Goel Garima, Prasad H V Krishna. Giant cystic thymoma with haemorrhage and necrosis: An unusual case. The Indian Journal of Chest Diseases and Allied Sciences, 2009 Apr; 51(2): 111-113.