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Thymoma and Tuberculoma: Unexpected Coexistence
António Grilo Novais1, Diana Pinho Santos1, Mariana Conceição2
1Internal Medicine Department, Centro Hospitalar Tondela-Viseu, Portugal.
European Journal of Case Reports in Internal Medicine
|August 11, 2021
Summary
This case report highlights the rare co-occurrence of thymoma and tuberculosis (TB) in the thymus. Early diagnosis and biopsy are crucial for managing mediastinal masses, especially in TB-endemic areas.
Area of Science:
- Oncology
- Infectious Diseases
- Thoracic Surgery
Background:
- Mediastinal tumors are often found incidentally or present with symptoms.
- Thymoma is a tumor of the thymus gland.
- Tuberculosis (TB) can affect various organs, including the mediastinum.
Purpose of the Study:
- To report a rare case of simultaneous thymoma and thymus tuberculosis.
- To emphasize the importance of considering TB in the differential diagnosis of mediastinal masses.
Main Methods:
- Case report of a symptomatic woman.
- Diagnostic work-up including imaging and biopsy.
- Histopathological examination of the mediastinal mass.
Main Results:
- A B1 thymoma was diagnosed in conjunction with tuberculosis of the thymus.
- The patient presented with symptoms related to the mediastinal mass.
Conclusions:
- The co-occurrence of thymoma and thymic tuberculosis is exceptionally rare.
- Tuberculosis should be included in the differential diagnosis of mediastinal masses, particularly in endemic regions.
- Biopsy or resection of mediastinal masses is vital for accurate diagnosis.
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