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Rare disease
A typical thymic carcinoid tumour within a thymolipoma: report of a case and review of combined tumours of the thymus
  1. Christina Steger1,
  2. Hans-Joerg Steiner2,
  3. Katharina Moser2,
  4. Heinrich Fiechtl3,
  5. Patrizia Moser2,
  6. Thomas Schmid4,
  7. Ralf Joachim Rieker2
  1. 1Department of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria
  2. 2Department of Pathology, Innsbruck Medical University, Innsbruck, Austria
  3. 3Schlitters, Austria
  4. 4Department of General, Visceral and Transplant Surgery, Innsbruck Medical University, Innsbruck, Austria
  1. Correspondence to Christina Steger, Christina.M.Steger{at}i-med.ac.at

Summary

Thymolipomas are rare tumours located in the anterior mediastinum. Sometimes these tumours may be combined with thymomas or lymphomas. We present a unique case of a thymic carcinoid arising within a thymolipoma. A 68-year-old patient presented with chronic chest and neck pain, which was initially thought to be caused by coronary artery disease. A chest x-ray, exercise tolerance test and coronary angiography were unremarkable. The following CT scan of the neck and chest showed a small tumour in the anterior mediastinum. A robotic-assisted thymectomy was performed and histological examination revealed a neuroendocrine tumour of the thymus within a thymolipoma. The patient was discharged 3 days after surgery in good general condition.

https://doi.org/10.1136/bcr.04.2010.2958

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    Footnotes

    • CS and HS contributed equally to this work.

    • Competing interests None.

    • Patient consent Obtained.