Resected thymic large cell neuroendocrine carcinoma: A case report and review of the literature.

Large cell neuroendocrine carcinoma Surgery Thymic carcinoma Thymus

Journal

International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872

Informations de publication

Date de publication:
2019
Historique:
received: 15 03 2019
revised: 20 05 2019
accepted: 30 05 2019
pubmed: 17 6 2019
medline: 17 6 2019
entrez: 17 6 2019
Statut: ppublish

Résumé

Large cell neuroendocrine carcinoma (LCNEC) of the thymus is an extremely rare neoplasm. We report a rare case of LCNEC of the thymus in a 55-year-old woman. Her chest roentgenogram during a routine checkup revealed an abnormal shadow in the mediastinal left upper lung field. Chest computed tomography showed an anterior mediastinal mass measuring 4.8 × 4.0 cm. Positron emission tomography with 18F-fluorodeoxyglucose (FDG) showed high FDG accumulation at the lesion. To obtain a definitive diagnosis and achieve complete resection, a surgery was performed. The postoperative diagnosis was thymic LCNEC; it was classified as a Masaoka stage III tumor due to the invasion of tumor cells into the left lung. Postoperatively, the patient received adjuvant chemotherapy and survived without any signs of recurrence for 30 months after surgery. The detailed clinical features of thymic LCNEC remain unknown because of its rarity. In total, 20 cases of resection for LCNEC, including the present case, have been reported in the English language literature; we have presented a review of these cases and discussed the optimal therapy for this rare and virulent tumor of the thymus.

Identifiants

pubmed: 31202999
pii: S2210-2612(19)30304-9
doi: 10.1016/j.ijscr.2019.05.057
pmc: PMC6580310
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

53-57

Informations de copyright

Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.

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Auteurs

Shogo Ogata (S)

Department of Thoracic and Breast Surgery, University of Miyazaki, Miyazaki, Japan.

Ryo Maeda (R)

Department of Thoracic and Breast Surgery, University of Miyazaki, Miyazaki, Japan.

Masaki Tomita (M)

Department of Thoracic and Breast Surgery, University of Miyazaki, Miyazaki, Japan. Electronic address: mtomita@med.miyazaki-u.ac.jp.

Yuichiro Sato (Y)

Department of Pathology, University of Miyazaki, Miyazaki, Japan.

Takanori Ayabe (T)

Department of Thoracic and Breast Surgery, University of Miyazaki, Miyazaki, Japan.

Kunihide Nakamura (K)

Department of Cardiovascular Surgery, University of Miyazaki, Miyazaki, Japan.

Classifications MeSH