Adenoid cystic carcinoma of the thymus gland.

Adenoid cystic carcinoma (ACC) Anterior mediastinal mass Epithelial tumours Thymic carcinoma with adenoid cystic carcinoma-like features (TCACC) Thymus

Journal

Journal of cardiothoracic surgery
ISSN: 1749-8090
Titre abrégé: J Cardiothorac Surg
Pays: England
ID NLM: 101265113

Informations de publication

Date de publication:
09 Nov 2023
Historique:
received: 10 04 2023
accepted: 04 11 2023
medline: 13 11 2023
pubmed: 10 11 2023
entrez: 10 11 2023
Statut: epublish

Résumé

Thymic carcinomas are rare and aggressive tumours. They constitute a heterogeneous group of tumours with various histological patterns and subtypes resembling epithelial tumours arising from other organs. We hereby represent a case of primary thymic carcinoma with adenoid cystic carcinoma-like features (TCACC) which is an extremely rare variant of thymic adenocarcinoma. To date and to the best of our knowledge, there are nine reported cases in literature and ours is the tenth. Our case was treated surgically but the implementation of adjuvant chemoradiotherapy has been reported in few of the published cases. TCACC constitutes a rare entity of thymic adenocarcinoma with limited available literature. The current data is derived from few case reports and case series. The histological overlap of these tumours and primary ACC of salivary glands poses a diagnostic challenge. Radiological investigations, immunohistochemical phenotyping and genetic analysis are crucial in establishing the diagnosis.

Sections du résumé

BACKGROUND BACKGROUND
Thymic carcinomas are rare and aggressive tumours. They constitute a heterogeneous group of tumours with various histological patterns and subtypes resembling epithelial tumours arising from other organs.
CASE PRESENTATION METHODS
We hereby represent a case of primary thymic carcinoma with adenoid cystic carcinoma-like features (TCACC) which is an extremely rare variant of thymic adenocarcinoma. To date and to the best of our knowledge, there are nine reported cases in literature and ours is the tenth. Our case was treated surgically but the implementation of adjuvant chemoradiotherapy has been reported in few of the published cases.
CONCLUSIONS CONCLUSIONS
TCACC constitutes a rare entity of thymic adenocarcinoma with limited available literature. The current data is derived from few case reports and case series. The histological overlap of these tumours and primary ACC of salivary glands poses a diagnostic challenge. Radiological investigations, immunohistochemical phenotyping and genetic analysis are crucial in establishing the diagnosis.

Identifiants

pubmed: 37946236
doi: 10.1186/s13019-023-02432-w
pii: 10.1186/s13019-023-02432-w
pmc: PMC10634110
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

307

Informations de copyright

© 2023. The Author(s).

Références

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pubmed: 32756201
Am J Surg Pathol. 2007 Aug;31(8):1161-7
pubmed: 17667537
Ann Thorac Cardiovasc Surg. 2012;18(6):544-7
pubmed: 22572229
Ann Thorac Surg. 2010 Oct;90(4):e56-8
pubmed: 20868782
Oral Oncol. 2015 Jul;51(7):652-61
pubmed: 25943783

Auteurs

Mohamed Shatila (M)

Department of Thoracic Surgery, University Hospitals Birmingham NHS Trust, Birmingham, UK.
Department of Cardiothoracic Surgery, Faculty of Medicine, Alexandria University Hospital, Alexandria, Egypt.

Hanan Hemead (H)

Department of Thoracic Surgery, University Hospitals Birmingham NHS Trust, Birmingham, UK.

Nishanth Murukesh (N)

Department of Medical Oncology, Worcestershire Royal Hospitals NHS Trust, Worcester, UK.

Philippe Taniere (P)

Department of Cellular Histopathology, University Hospitals Birmingham, NHS Trust, Birmingham, UK.

Caroline Russell (C)

Department of Cellular Histopathology, University Hospitals Birmingham, NHS Trust, Birmingham, UK.

Ashvini Menon (A)

Department of Thoracic Surgery, University Hospitals Birmingham NHS Trust, Birmingham, UK.

Akshay J Patel (AJ)

Department of Thoracic Surgery, University Hospitals Birmingham NHS Trust, Birmingham, UK. ajp.788@gmail.com.
Institute of Immunology and Immunotherapy, University of Birmingham, Vincent Drive, Edgbaston, B15 2TT, UK. ajp.788@gmail.com.

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Classifications MeSH