FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 356:2185-2193 May 24, 2007 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text PowerPoint Slide Set Supplementary Material Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Presentation of Case

A 61-year-old man was referred to the thoracic oncology service of this hospital for management of a thymoma. He had been well until 6 weeks earlier, when he experienced the sudden onset of sharp left anterior chest pain, which was worse adjacent to the sternum and when he took a deep breath. He went to the emergency room of another hospital. Computed tomographic (CT) scanning of the chest performed with a pulmonary-embolism protocol revealed no evidence of pulmonary embolism. However, a lobulated, soft-tissue mass, 4 cm in diameter, was found in the left anterior mediastinum, adjacent to the main pulmonary . . . [Full Text of this Article]

Differential Diagnosis

Pathological Discussion

Discussion of Management

Staging and Resectability of Thymoma

Induction Chemotherapy for Stage III Thymoma

Preoperative Radiotherapy in Stage III Thymoma

Surgical Management of Thymoma

Pathological Findings

Anatomical Diagnosis

Source Information

From the Departments of Surgery (C.D.W.), Hematology and Oncology (P.F.), Radiation Oncology (N.C.H.C.), Radiology (J.-A.O.S.), and Pathology (R.P.H.), Massachusetts General Hospital; and the Departments of Surgery (C.D.W.), Medicine (P.F.), Radiation Oncology (N.C.H.C.), Radiology (J.-A.O.S.), and Pathology (R.P.H.), Harvard Medical School.

This article has been cited by other articles:

• Daffner, K. R., Sherman, J. C., Gonzalez, R. G., Hasserjian, R. P. (2008). Case 35-2008 -- A 65-Year-Old Man with Confusion and Memory Loss. NEJM 359: 2155-2164 [Full Text]