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Surgery
Advanced thymic carcinoma with a hepatic metastasis treated with chemotherapy and staged resection
  1. Sheldon Russell1,
  2. Suresh Navadgi1,
  3. Timothy Clay2 and
  4. Diana Starac3
  1. 1Department of General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2St John of God Subiaco Hospital, Subiaco, Western Australia, Australia
  3. 3Australian Clinical Labs SJGP Subiaco, Subiaco, Western Australia, Australia
  1. Correspondence to Dr Sheldon Russell; sheldonrrussell{at}gmail.com

Abstract

Thymic carcinoma is rare, with resulting treatment of patients with extrathoracic metastasis being on a case-by-case basis. We describe the management of a woman in her 70s with an incidentally discovered cystic hepatic lesion with confirmation of a solitary extrathoracic metastasis from a synchronous primary thymic carcinoma. Following chemotherapy and staged resection of the metastasis and the primary tumour, the patient remained free of disease on radiological surveillance 6 months postoperatively.

  • General surgery
  • Chemotherapy

https://doi.org/10.1136/bcr-2023-258431

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    Footnotes

    • Contributors 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: SR, TC, SN and DS. The following authors gave final approval of the manuscript: SR, TC, SN and DS.

    • 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.