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Ismail Sarbay



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    P3.CR - Case Reports (Not CME Accredited Session) (ID 984)

    • Event: WCLC 2018
    • Type: Poster Viewing in the Exhibit Hall
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/26/2018, 12:00 - 13:30, Exhibit Hall
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      P3.CR-29 - En-Bloc Excision of Intrapericardial Thymoma Using Single Port Video-Assisted Thoracoscopic Surgery. A Rare Case  (ID 12716)

      12:00 - 13:30  |  Author(s): Ismail Sarbay

      • Abstract
      • Slides

      Background

      Thymomas are located in the normal location of the thymus in the anterior mediastinum. It is very rare for thymomas to arise primarily intrapericardialy. There had been only few reports for this unusual localization.

      We report a case of a patient with an entirely intrapericardial thymoma.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      A 76-year-old man with a known human immunodeficiency virus (HIV) positivity and has been under close follow up for the recent 5 years . The patient had a computerized tomography of the thorax due to suspicious mediastinal enlargement .The radiological evaluation revealed an intrapericardial mass of 3x3x2.5 cm dimensions.

      4c3880bb027f159e801041b1021e88e8 Result

      We have performed right uniportal videoassisted thoracoscopic surgery( VATS) for the intrapericardial mass resection. Histopathological examination revealed the tumor as type A thymoma, according to the World Health Organization classification (1999). The biopsied adjacent pericardial tissue in relation with the tumour showed thymic gland. As the patient was evaluated again he did not have any signs of symptoms of myasthenia gravis. The patient was discussed in tumour board and aggreed for a local radiation treatment on the site of excision.

      The patient is in his early post operative period with no clinical problem.

      8eea62084ca7e541d918e823422bd82e Conclusion

      HIV positive patients are in higher risk for opportunistic infections and other tumoral lesions including malignant thymic tumours .

      Unexpected localization for thymoma might be the question of HIV and needs to be proven with more patients and clinical data .

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