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Case Records of the Massachusetts General Hospital
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Volume 356:2185-2193 May 24, 2007 Number 21
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Case 16-2007 — A 61-Year-Old Man with a Mediastinal Mass
Cameron D. Wright, M.D., Panos Fidias, M.D., Noah C.H. Choi, M.D., Jo-Anne O. Shepard, M.D., and Robert P. Hasserjian, M.D.

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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.



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