Article Text

Download PDFPDF
A bimodal approach to thymic carcinoma with pericardial sac invasion
  1. Adnan Ahmed,
  2. Sarthak Soin and
  3. Sabah Patel
  1. Department of Internal Medicine, Presence Saint Joseph Hospital, Chicago, Illinois, USA
  1. Correspondence to Dr Sarthak Soin, sarthaksoin{at}


Thymic carcinoma is a rare tumour of the thymus, representing less than 1% of thymic malignancies.1 It has an annual incidence of 0.15–0.32 per 1 00 000 person-years.2 It is found incidentally in 30% of the patients as an opacity on chest X-ray or with non-specific complaints of persistent cough, chest pain, fatigue, shortness of breath, arm and facial swelling, and upper airway congestion related to tumour extension. We present the case of a 59-year-old man with a history of Graves’ disease status post radiation treatment presenting with cough and left lingual opacity on chest X-ray, confirmed to be thymic carcinoma with pericardial invasion and lymph node metastasis. We aim to discuss the presentation, treatment modalities and outcome associated with this rare tumour.

  • cancer intervention
  • radiotherapy
  • cardiothoracic surgery
  • oncology

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors SS and AA authors contributed equally in writing the manuscript. SP and SS reviewed and revised the final manuscript prior to submission. SS is the article guarantor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.