Tuberc Respir Dis > Volume 70(1); 2011 > Article
Tuberculosis and Respiratory Diseases 2011;70(1):74-78.
DOI: https://doi.org/10.4046/trd.2011.70.1.74    Published online January 1, 2011.
A Case of Pleural Metastasis 6 Years after Complete Surgical Resection of Invasive Thymoma.
Kwang Jin Woo, Yang Ki Kim, Ki Up Kim, Soo Taek Uh, Dong Won Kim, Jung Hwa Hwang, Yong Hoon Kim, Choon Sik Park
1Department of Respiratory and Allergy Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. uhs@hosp.sch.ac.kr
2Department of Pathology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
3Department of, Diagnostic Radioloy, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
4Department of Respiratory and Allergy Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.
5Department of Respiratory and Allergy Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
Abstract
Herein, we report a case of recurrent pleural metastasis after complete resection of invasive thymoma that was successfully treated with surgical resection. Thymoma and thymic carcinoma are uncommon neoplasms derived from the epithelial cells of the thymus. Approximately 30% to 50% of thymomas are asymptomatic at the time of diagnosis. However, these cancers may present with constitutional or local pressure symptoms and sometimes with paraneoplastic syndromes, especially myasthenia gravis. Surgical resection is the mainstay of thymoma treatment and has been shown to remarkably improve long-term survival. Despite complete resection, local recurrences are frequent, and surgery is the cornerstone of therapy even in cases of recurrent thymoma. We experienced a 67-year-old male patient with pleural metastasis that developed 6 years after complete surgical resection of invasive thymoma. The pleural mass was excised by video-assisted thoracoscopic surgery. Histopathological examination revealed an invasive World Health Organization (WHO) type B2 thymoma.
Key Words: Thymoma, Recurrence, Pleural Neoplasms, Neoplasm Metastasis, Surgical Procedures, Operative


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