Thymic papillo-tubular adenocarcinoma containing a cyst: report of a case

Surg Today. 2012 Oct;42(10):988-91. doi: 10.1007/s00595-012-0161-5. Epub 2012 Mar 11.

Abstract

We report a case of thymic papillo-tubular adenocarcinoma in a 55-year-old man, who had no symptoms. Sternotomy revealed a tumor in the anterior mediastinum, tightly adhered to the pericardium. It was resected completely. Interestingly, the tumor contained a unilocular cyst filled with mucinous fluid, suggesting that it originated from a pre-existing thymic cyst. Pathological examination of the tumor revealed a primary thymic papillo-tubular adenocarcinoma resembling a tumor of gut origin. Thymic adenocarcinomas, particularly of the tubular subtype, are extremely rare.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / complications
  • Adenocarcinoma / diagnosis*
  • Humans
  • Male
  • Mediastinal Cyst / complications
  • Mediastinal Cyst / diagnosis*
  • Middle Aged
  • Thymus Neoplasms / complications
  • Thymus Neoplasms / diagnosis*