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Lung India Official publication of Indian Chest Society  
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CASE REPORT
Year : 2014  |  Volume : 31  |  Issue : 4  |  Page : 383-386

Superior vena caval syndrome and ipsilateral pleural effusion: A rare presentation of anterior mediastinal thymoma


Department of Pulmonary Medicine, Medical College, Kolkata, West Bengal, India

Correspondence Address:
Dr. Anirban Das
C/O Mr Pradip Das, Peon Para, Bhatchala, Near Vidyarthi Girls' High School, P.O.: Sripalili, P.S: Burdwan Sadar, Burdwan, West Bengal - 700 103
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.142126

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Incidence of thymic malignancies is very low. Thymoma, a tumor of thymus gland, is of epithelial origin and is most common anterior mediastinal tumor. In most cases, thymomas are localized and locally advanced thymomas may rarely present with superior vena caval obstruction (SVCO) and malignant pleural deposits. Microscopically, capsular invasion is noted in case of locally advanced thymomas, which behave like a malignant neoplasm. Complete surgical removal of the tumor along with intact capsule is the treatment modality of choice in case of localized tumors. Neoadjuvant radiotherapy (RT) and chemotherapy followed by surgical resection of residual tumor is useful in case of locally advanced tumors. RT is especially useful in case of SVCO to relieve the distressing respiratory symptoms. Here, we report a rare case of locally advanced thymoma, complicated by SVCO and ipsilateral pleural effusion in a 53-year-old male patient.


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