Abstract
The presenting case is a 50-year-old man with pemphigus foliaceus who was found to have a thymoma. Computed tomography (CT) scans revealed a large anterior mediastinal mass, 6 cm in diameter, which was heterogeneous in appearance with no evidence of invasion. CT-guided biopsy confirmed the diagnosis of type AB thymoma. The patient was otherwise functionally independent, with an Eastern Cooperative Oncology Group (ECOG) status of 1 and normal pulmonary function. Informed consent was obtained for a video-assisted thoracoscopic surgery (VATS) radical thymectomy.
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