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Year : 2019  |  Volume : 12  |  Issue : 6  |  Page : 529-532

Cystic thymoma presenting as recurrent empyema

Department of Pulmonary Medicine, Topiwala National Medical and BYL Nair Charitable Hospital, Mumbai, Maharastra, India

Correspondence Address:
Jyotsna Madanmohan Joshi
Department of Pulmonary Medicine, 2nd Floor, OPD Bldg., TNMC and BYL Nair Hospital, AL Nair Road, Mumbai - 400 008, Maharastra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjdrdypu.mjdrdypu_212_18

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The lymphoma, thymoma and germ cell tumour are most common anterior mediastinal tumours. Thymoma account for 20% of mediastinal tumours and is the most common anterior mediastinal tumour. According to the 2015 WHO classification, the thymomas are classified according to 2 major features namely the shape of the epithelial cells and second is the amount of immature lymphocytes. Cystic thymoma is a rare variant of thymic neoplasm characterized by almost complete cystic degeneration with mixed internal structure. The clinical demeanour can range from an incidentally detected radiological finding to grave Para thymic syndromes. We herein describe a case of a 38 year-old male who presented with recurrent empyema. A contrast enhanced computed tomography of thorax done in the diagnostic workup unveiled a mediastinal cystic mass in right cardio phrenic angle. Mediastinal thymomas may rarely undergo cystic and necrotic changes and present as recurrent empyema's seen in our case.

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