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2010, Volume 26, Number 2, Page(s) 156-158     
[ Abstract (Turkish) ] [ PDF ] [ Similar Articles ]
DOI: 10.5146/tjpath.2010.01014
Type A Thymoma with Extensive Necrosis Mimicing Atypical Carcinoid Tumor: A Case Report
Yetkin AĞAÇKIRAN1, Ersin GÜNAY2, Sibel GÜNAY2, Leyla MEMİŞ3, İrfan TAŞTEPE4
1Department of Pathology, M.H. Ataturk Chest Diseases and Thoracic Surgery Training and Research Hospital, ANKARA, TURKEY
2Department of Chest Diseases, M.H. Ataturk Chest Diseases and Thoracic Surgery Training and Research Hospital, ANKARA, TURKEY
3Department of Pathology, Gazi University, Faculty of Medicine, ANKARA, TURKEY
4Department of Thoracic Surgery, M.H. Ataturk Chest Diseases and Thoracic Surgery Training and Research Hospital, ANKARA, TURKEY
Keywords: Thymoma, Extensive necrosis, Carcinoid tumor

Necrosis, infarction, haemorrhage and cystic degeneration in thymoma are described mostly focally. Extensive cystic and necrotic degenerations are reported very rarely. A 38-year-old female patient was admitted to our hospital for right chest pain, cough and dyspnea of 3 months duration. Radiological investigations revealed a mass lesion 7x9 cm in diameter located in the anterior mediastinum without any calcifications, septation or mediastinal extension. During operation, a well encapsulated easily resectable large tumor tissue was observed. Pathological examination was suggestive of Type A thymoma which was challenging as regards the differential diagnosis of spindle cell atypical carcinoid. This rare entity was discussed with a literature survey.

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