@article {Ahmede229136, author = {Adnan Ahmed and Sarthak Soin and Sabah Patel}, title = {A bimodal approach to thymic carcinoma with pericardial sac invasion}, volume = {12}, number = {3}, elocation-id = {e229136}, year = {2019}, doi = {10.1136/bcr-2018-229136}, publisher = {BMJ Specialist Journals}, abstract = {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{\textendash}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{\textquoteright} 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.}, URL = {https://casereports.bmj.com/content/12/3/e229136}, eprint = {https://casereports.bmj.com/content/12/3/e229136.full.pdf}, journal = {BMJ Case Reports CP} }