Aguillón-Luna A, Ramírez JJ, García MO, Oros C, Reyna T, Falcon R

Language: Spanish
References: 7
Page: 112-114
PDF size: 77.70 Kb.

ABSTRACT

AbstractA 43-years old woman had 12 years with pain in the left thorax and a supposedly cardiomegaly. Six years later, a lateral chest x-rays film showed a retropericardiac mass, which in the computed tomograph extended from anterior and superior mediastinum to behind the pericardium, overpassing the left border of the heart. A needle biopsy obtained lymphomatous material that was diagnosed as non-Hodgkin lymphoma. She received four chemotherapy cycles and 27 radiation sessions. When she was seen at our hospital, the mediastinal mass persisted without changes. During an open thoracotomy we found that the mass was devoid of fixation to mediastinal structures, and once resected it was diagnosed as a thymolipoma.

REFERENCES

1. Shirkhoda A, Chasen MH, Eftekhari F, Goldman AM, Decaro LF. MR imaging of mediastinal thymolipoma. J Comput Assist Tomogr 1987; 11: 364-365.

2. Rosado-de-Christianson ML, Pugatch RD, Moran CA, Galobardes J. Thymolipoma: analysis of 27 cases. Radiology 1994; 193: 121-126.

3. Gregory AK, Connery CP, Resta-Flarer F, Davis JE, Semel L, Holgersen LO. A case of massive thymolipoma. J Pediatric Surg 1997; 32: 1780-1782.

4. Shimosato Y, Kiyoshi M. Atlas of tumor pathology. Tumors of the mediastinum. 3a ed. Armed Force Institute of Pathology: Washington DC. 1995: 33-38.

5. Bigelow NH, Ehler AA. Lipothymoma: An usual benign tumor of the thymus gland. J Thorac Cardiovasc Surg 1992; 23: 528-538.

6. Benton C, Gerar P. Thymolipoma in a patient with Graves’ disease. J Thorac Cardiovasc Surg 1966; 51: 428-433.

7. Pan CH, Chang CY, Chen SS. Thymolipoma in a patient with myasthenia gravis. Report of two cases and review. Acta Neurol Scand 1998; 78: 16-21.