Abstract
A 65-year-old man was admitted to hospital with obstructive jaundice. Three years previously he had been diagnosed with pulmonary tuberculosis. During his antituberculous treatment he was found to have a 10-cm cystic mass in the anterior mediastinum that was increasing in size. Computed tomography-guided biopsy showed this to be an epithelial neoplasm with neuroendocrine differentiation. This was surgically removed and pathological examination revealed a moderately differentiated neuroendocrine carcinoma of the thymus. There was focal involvement of the resection margin and lymphovascular spread. He was given postoperative adjuvant radiotherapy and remained well for 2 years.
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