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Ning Chen



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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-37 - Extensive Resection for Invasive Atypical Carcinoid of Thymus: 1 Case Report (ID 13717)

      12:00 - 13:30  |  Author(s): Ning Chen

      • Abstract

      Background

      Atypical carcinoid of thymus (ACT) is extremely rare. Patients with ACT usually have no specific symptoms, and mostly are found as mediastinal tumors when taking chest X-ray or CT scanning. ACT is usually aggressive and extensive surgical resection is of first choice, even though chemo-radiation is recommended but showing less effects. Here we report one case of ACT invading adjacent organs and tissues received extensive radically surgical resection.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      A male aged 53 in Mar 2018, with chest distress, fatigue for 1 month; chest CT revealed a round 5x4x3cm3 mediastinal tumor sitting on superior vena cava, aortic arch. Thymoma was diagnosed. Heart and lung function test showed normal; there was no contraindication for surgery. Surgical resection became first of choice.

      4c3880bb027f159e801041b1021e88e8 Result

      Median sternotomy was performed, and the 5x4x3cm3 tumor was confirmed invading into adjacent superior vena cava and left innominate vein, invading aortic adventitia, pericardium, right mediastinal pleural and right upper lobe of the lung. Extensive and radical en block resection was performed including resection and followed plasty of the lateral wall of the superior vena cava and right innominate vein, resection of being-invaded aortic adventitia, pericardium, right mediastinal pleural, right upper lobe of the lung, and resection of the whole thymoma and fat tissues of thymus body and four feet. The surgical resection was evaluated as perfect, being resected completely and radically. Postoperative adjuvant radiation was followed one month later. No chemotherapy was added. The patient is now recovering rapidly and healthily. Long term follow-up is needed to monitor recurrence and metastasis.

      8eea62084ca7e541d918e823422bd82e Conclusion

      Atypical carcinoid of thymus is extremely rare. Surgical resection is of first choice. Complete en bloc resection of the whole tumor, the whole fat tissues of thymus body and four feet, and adjacent being-invaded organs and tissues, is the key point to avoid recurrence, to cure ACT. (This study was partly supported by Science Foundation of Shenyang City, China, No. F16-206-9-05, 17-230-9-71)

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