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Giant paediatric thymoma and its tailored anaesthetic management
  1. Abdullah Nisar,
  2. Syed Tashfain bin Zafar,
  3. Akbar Mistry and
  4. Hamid Mohammad
  1. Department of Anesthesia, The Aga Khan University Hospital, Karachi, Pakistan
  1. Correspondence to Syed Tashfain bin Zafar; tashfainzafar{at}gmail.com

Abstract

A toddler presented with significant weight loss and lethargy. His CT scan chest revealed a sizeable anterior mediastinal mass of 14.5×12.0×7.0 cm, resulting in compression of the airway. The patient underwent a successful tumour resection but postoperatively experienced left diaphragmatic paralysis, which was effectively managed through conservative measures. Histopathology was consistent with thymoma (type B2, Masaoka stage I). This case emphasises the critical role of collaborative efforts among oncology, surgery and anaesthesiology teams in achieving positive outcomes for rare paediatric mediastinal tumours. It underscores the importance of comprehensive preoperative anaesthetic assessments, careful planning for potential complications and vigilant postoperative monitoring. Healthcare professionals, particularly anaesthesiologists, can find valuable insights in this case report for navigating the complexities associated with managing giant mediastinal masses in the paediatric population.

  • Anaesthesia
  • Cancer intervention

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Footnotes

  • X @ABNIJabal

  • Contributors TbZ is the guarantor and accepts full responsibility for the finished work, having had access to the data and controlled the decision to publish. The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: AN, TbZ and AM. The following author gave final approval of the manuscript: HM.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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