Abstract
BackgroundSpontaneous intracystic hemorrhage of cystic thymoma is very rare. We encountered a patient with giant cystic thymoma with spontaneous intracystic hemorrhage and successfully resected the thymoma.Case presentationA 38-year-old man was referred to our hospital with chest pain. Computed tomography revealed a uniform anterior mediastinum cystic mass. Two days after hospitalization, his chest pain worsened. Subsequent computed tomography showed that the tumor had become inhomogeneous. The patient’s symptoms gradually improved over a fortnight, and surgery was performed. The tumor was a cystic mass with a thick fibrous capsule filled with hemorrhagic necrotic tissue and was diagnosed as a cystic thymoma.ConclusionsMediastinal cystic lesion with expansion or contrasting effects in the wall may be a cystic thymoma, and it has the possibility of hemorrhaging in the cyst. In such a case, surgical resection is recommended.
Highlights
Spontaneous intracystic hemorrhage of cystic thymoma is very rare
Mediastinal cystic lesion with expansion or contrasting effects in the wall may be a cystic thymoma, and it has the possibility of hemorrhaging in the cyst
We report a case of a giant cystic thymoma that spontaneously developed intracystic hemorrhage after patient admission
Summary
Few studies have reported cases of cystic thymoma with complete cystic degeneration, and these cases rarely involve intracystic hemorrhage [1]. We report a case of a giant cystic thymoma that spontaneously developed intracystic hemorrhage after patient admission. The mass was successfully resected and diagnosed as cystic thymoma with intracystic hemorrhage. Case presentation A 38-year-old man visited our hospital complaining of anterior chest pain. He had no significant medical or family history, and the vital signs were stable. A chest CT on day 13 showed that the tumor had become small in size with a thickened wall (Fig. 1c). The tumor was diagnosed as type B1 cystic thymoma (Fig. 3c). Following an analysis of the tissue obtained from the resected recurrent tumor, the pathological diagnosis was changed to type B3 thymoma
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
