Clinical history

Case 33


56-year-old man with moderate dyspnea and history of myositis and urothelial tumor treated by surgery and chemotherapy.

Radiological images


Radiological findings


CT images


CT findings


Extraexaminations



TEP shows moderate uptake of the mass



Requirements


Thymoma

Thymoma: most frequent mass of the anterior mediastinum > 40 years. Mass of 4 to 10 cm in diameter in general. 33% have calcifications. most project on one side (not median).
Presentation: asymptomatic, paraneoplastic syndrome: (Myasthenia Gravis, autoimmune myositis, aplasia of the red line, hypogammaglobulinemia).
Take home message of this case: the larger a mass the most difficult the precise anatomic origin.

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