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Calcified multilocular thymic cyst associated with thymoma: a case report
Hafsa Elouazzani1, Fouad Zouaidia, Ahmed Jahid
1Department of Pathology, Ibn Sina Hospital, Rabat, Morocco. hafoussa02@hotmail.fr.
Journal of Medical Case Reports
|June 22, 2011
Summary
This case report highlights a rare thymoma associated with a thymic cyst. Careful pathological examination is crucial to distinguish such cystic thymomas from other mediastinal neoplasms.
Area of Science:
- Thoracic Surgery
- Pathology
- Oncology
Background:
- Thymoma associated with thymic cysts is rare.
- Differentiating cystic thymoma from other neoplasms can be challenging for pathologists.
Purpose of the Study:
- To present a case of a calcified thymic cyst with an associated thymoma.
- To emphasize the importance of considering neoplasm in thickened thymic cysts.
Main Methods:
- A 50-year-old woman presented with a chronic cough and a calcified opacity on chest radiography.
- CT scan revealed a cystic tumor in the anterior mediastinum.
- Surgical exploration and histological examination confirmed a multilocular thymic cyst with an associated AB thymoma.
Main Results:
- A well-encapsulated, calcified lesion arising from the thymus was surgically removed.
- Histology showed multilocular fibrous-wall cysts lined by cuboidal cells with chronic inflammation.
- An AB thymoma was identified arising from the cyst wall.
Conclusions:
- Multilocular thymic cysts require careful evaluation to rule out neoplastic processes.
- Thickened cyst walls in thymic lesions warrant increased suspicion for malignancy.
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