Regression of thymoma associated with a multilocular thymic cyst: report of a case

A 28-year-old male was diagnosed with acute pericarditis after presenting with acute chest pain, fever and an abnormality in an electrocardiogram. No symptoms suggestive of myasthenia gravis were observed. Although the symptoms were alleviated by antibiotics, computed tomography (CT) showed an anter...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2014-03, Vol.44 (3), p.577-580
Main Authors: Toyokawa, Gouji, Taguchi, Kenichi, Ohba, Taro, Hirai, Fumihiko, Yamaguchi, Masafumi, Hamatake, Motoharu, Seto, Takashi, Nishiyama, Kenichi, Shida, Yoshitaka, Sugio, Kenji, Ichinose, Yukito
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Anti-Bacterial Agents - therapeutic use
Case Report
Ceftriaxone - therapeutic use
Humans
Magnetic Resonance Imaging
Male
Mediastinal Cyst - complications
Mediastinal Cyst - diagnosis
Mediastinal Cyst - pathology
Mediastinal Cyst - surgery
Mediastinal Neoplasms - complications
Mediastinal Neoplasms - diagnostic imaging
Mediastinal Neoplasms - pathology
Mediastinal Neoplasms - surgery
Medicine
Medicine & Public Health
Pericarditis - complications
Pericarditis - diagnosis
Pericarditis - drug therapy
Pleural Effusion - diagnostic imaging
Surgery
Surgical Oncology
Thymectomy
Thymoma - complications
Thymoma - diagnostic imaging
Thymoma - pathology
Thymoma - surgery
Tomography, X-Ray Computed
Treatment Outcome
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Description
Summary:A 28-year-old male was diagnosed with acute pericarditis after presenting with acute chest pain, fever and an abnormality in an electrocardiogram. No symptoms suggestive of myasthenia gravis were observed. Although the symptoms were alleviated by antibiotics, computed tomography (CT) showed an anterior mediastinal mass with bilateral pleural effusion. He was, therefore, diagnosed with thymoma and referred to our hospital. Surgery was performed, since the pleural effusion disappeared. The pathological examination revealed the mass to be a type B2 thymoma classified as pathological stage I (Masaoka’s classification) with a multilocular thymic cyst.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-012-0436-x