Thymoma

Case contributed by Frank Gaillard , 11 Feb 2010
Diagnosis certain
Changed by Henry Knipe, 13 Jun 2015

Updates to Study Attributes

Findings was added:

Soft tissue density projecting to the left of the mediastinum. The distal part of the arch and proximal descending aorta can be seen as separate suggesting it is located anterior to these structures.

Images Changes:

Image X-ray (Frontal) ( update )

Description was removed:
Thymoma
Single Or Stack Root was set to .
Perspective was set to Frontal.

Updates to Study Attributes

Findings was added:

MRI confirms the presence of an anterior mediastinal mass without convincing macroscopic invasion. 

Images Changes:

Image MRI (T1) ( update )

Perspective was set to Axial.
Specifics was set to T1.

Image MRI (T1) ( update )

Description was changed:
TE: 42 TR: 1000

Updates to Freetext Attributes

Description was added:

Histology

The tumour is a thymoma of the cortical type.

The mass is firm and covered anterolaterally with a thin translucent membrane, consistent with mediastinal pleura. The cut surface is yellow-tan in colour with variably sized lobulation and focal haemorrhagic/degenerative areas in the central portion.

There is extension of the tumor into the surrounding mediastinal fat, outside of the tumor capsule, and this qualifies as an invasive thymoma. The tumor tends to push the mediastinal pleural margin and the pericardial structures. There is no evidence of pericardial involvement.

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