Infarcted thymus presenting as cancer

Thymomas are exceedingly rare in the pediatric population, with lymphoma being a much more likely etiology of a mediastinal mass in a child. Here, we present the interesting case of a large mediastinal mass incidentally identified in an 11-year-old female, which was initially concerning for malignan...

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Published inJournal of pediatric surgery case reports Vol. 87; p. 102498
Main Authors Tecos, Maria E., Ballweg, Matthew, Hanna, Angela, Thomas, Patrick, Zarroug, Abdalla
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.12.2022
Elsevier
Subjects
Malignancy
Mediastinal mass
Thymoma
Thymoma
Malignancy
Mediastinal mass
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Summary:Thymomas are exceedingly rare in the pediatric population, with lymphoma being a much more likely etiology of a mediastinal mass in a child. Here, we present the interesting case of a large mediastinal mass incidentally identified in an 11-year-old female, which was initially concerning for malignancy. After extensive workup revealing the likely benign nature off the lesion, resection was pursued to relieve cardiopulmonary mass effect. Final pathology was returned as benign infarcted thymoma. •Consideration should be taken for aggressive minimally invasive approaches in pediatric patients.•Oncologic principles of mass resection should be maintained when final diagnosis has yet to be elucidated.•Symptomatology may call for operative intervention prior to completion of investigative workup.
ISSN:2213-5766
2213-5766
DOI:10.1016/j.epsc.2022.102498