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Thymic carcinoma presenting as atypical chest pain
Sadiq Siddiqui1, Tara Connelly2, Luther Keita1
1Department of Cardiothoracic Surgery, Galway University Hospital, Galway, Ireland.
BMJ Case Reports
|November 27, 2015
Summary
A 58-year-old woman with chest pain was diagnosed with thymic carcinoma and triple vessel disease. Both conditions were successfully treated with simultaneous surgery, including mass resection and coronary artery bypass grafting.
Area of Science:
- Cardiology
- Thoracic Surgery
- Oncology
Background:
- A 58-year-old woman presented with atypical chest pain, diagnosed with significant triple vessel disease requiring coronary artery bypass grafting (CABG).
- Preoperative workup revealed a large anterior mediastinal mass, necessitating further investigation.
Observation:
- Chest X-ray and CT scan identified a 7.2 cm anterior mediastinal mass.
- CT-guided biopsy confirmed the mass as poorly differentiated thymic basaloid carcinoma.
Findings:
- The patient underwent successful concomitant surgery for both conditions.
- Complete resection of the thymic carcinoma and CABG were performed simultaneously.
Implications:
- This case highlights the importance of thorough preoperative evaluation for unexpected findings.
- Simultaneous surgical management of mediastinal tumors and coronary artery disease is feasible and effective.
- Early diagnosis and integrated treatment strategies are crucial for complex thoracic conditions.
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