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Korean Journal of Thoracic and Cardiovascular Surgery

Published online December 9, 2020

Copyright © Journal of Chest Surgery.

Primary Intrapulmonary Thymoma Appearing as a Solitary Pulmonary Nodule: The “Master of Disguise” of Lung Tumors?

Athanasios Krassas M.D.,FECTS.1 , Ioannis Diamantis M.D.1 , Ioannis Karampinis M.Sc.1 , Stefani Vgenopoulou M.D.2 , Panagiotis Misthos M.D., Ph.D.1

Departments of 1Thoracic Surgery and 2Pathology, Sismanogleio General Hospital, Athens, Greece

Correspondence to:Athanasios Krassas
Tel 30-2132058255
Fax 30-2132058255
E-mail athanasekrassas@hotmail.fr
ORCID
https://orcid.org/0000-0001-5873-5008

Received: September 21, 2020; Revised: October 20, 2020; Accepted: November 9, 2020

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properlycited.

Abstract

Primary intrapulmonary thymomas (PITs) are defined as thymomas arising in intrapulmonary locations, without an associated mediastinal component. They are rare lesions, the diagnosis of which can be very difficult. We present a case of PIT in an asymptomatic 74-year-old woman in whom pulmonary nodules were found on pulmonary angiography performed for an episode of pulmonary embolism. She underwent wedge resection and the pathology report revealed a PIT. We also summarize this patient’s clinicopathological features and discuss the diagnosis, pathogenesis, and treatment of PIT.

Keywords: Thymoma, Pulmonary nodule, Multiple, Diagnosis, Histology

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Korean Journal of Thoracic and Cardiovascular Surgery

Published online December 9, 2020

Copyright © Journal of Chest Surgery.

Primary Intrapulmonary Thymoma Appearing as a Solitary Pulmonary Nodule: The “Master of Disguise” of Lung Tumors?

Athanasios Krassas M.D.,FECTS.1 , Ioannis Diamantis M.D.1 , Ioannis Karampinis M.Sc.1 , Stefani Vgenopoulou M.D.2 , Panagiotis Misthos M.D., Ph.D.1

Departments of 1Thoracic Surgery and 2Pathology, Sismanogleio General Hospital, Athens, Greece

Correspondence to:Athanasios Krassas
Tel 30-2132058255
Fax 30-2132058255
E-mail athanasekrassas@hotmail.fr
ORCID
https://orcid.org/0000-0001-5873-5008

Received: September 21, 2020; Revised: October 20, 2020; Accepted: November 9, 2020

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properlycited.

Abstract

Primary intrapulmonary thymomas (PITs) are defined as thymomas arising in intrapulmonary locations, without an associated mediastinal component. They are rare lesions, the diagnosis of which can be very difficult. We present a case of PIT in an asymptomatic 74-year-old woman in whom pulmonary nodules were found on pulmonary angiography performed for an episode of pulmonary embolism. She underwent wedge resection and the pathology report revealed a PIT. We also summarize this patient’s clinicopathological features and discuss the diagnosis, pathogenesis, and treatment of PIT.

Keywords: Thymoma, Pulmonary nodule, Multiple, Diagnosis, Histology

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