PT  - JOURNAL ARTICLE
AU  - Adnan Ahmed
AU  - Sarthak Soin
AU  - Sabah Patel
TI  - A bimodal approach to thymic carcinoma with pericardial sac invasion
AID  - 10.1136/bcr-2018-229136
DP  - 2019 Mar 01
TA  - BMJ Case Reports
PG  - e229136
VI  - 12
IP  - 3
4099  - http://casereports.bmj.com/content/12/3/e229136.short
4100  - http://casereports.bmj.com/content/12/3/e229136.full
SO  - BMJ Case Reports2019 Mar 01; 12
AB  - 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.