Weekly Chest CasesArchive of Old Cases

Case No : 334 Date 2004-03-20

  • Courtesy of Jin Hee Kim, M.D., Soo-Hyun Lee, M.D., Joon Beom Seo, M.D. / Asan Medical Center, Ulsan University, Seoul, Korea
  • Age/Sex 70 / F
  • Chief ComplaintDyspnea on exertion for one month
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5

Diagnosis With Brief Discussion

Diagnosis
Thymic carcinoma with pericardial invasion
Radiologic Findings
Chest radiograph shows a contour-bulging mass with multiple calcifications in the aortopulmonary window and cardiomegaly. CT scans show a lobulated mass containing amorphous calcifications in the prevascular space. There is another soft tissue mass in the transverse sinus of pericardium. Large pericardial effusion is also noted. Well-differentiated thymic carcinoma was diagnosed by CT-guided biopsy (WHO classification B3).
Brief Review
Please refer to case 139, 241
References
Please refer to case 139, 241
Keywords
Mediastinum, Malignant tumor,

No. of Applicants : 33

▶ Correct Answer : 6/33,  18.2%
  • - Asan Medical Center, Korea Eun Jin Chae
  • - Dong-A University Hospital, Korea Ki-Nam Lee
  • - Gwangmyoung Sung-Ae Hospital, Korea Jiyong Rhee
  • - Hanyang University Hospital, Seoul, Korea Yo Won Choi
  • - Mallinckrodt Institute of Radiology, USA Jin Mo Goo
  • - Social Security Hospital, Ankara, Turkey Meric Tuzun
▶ Semi-Correct Answer : 18/33,  54.5%
  • - Air force education & training command Hospital, Korea Hyukwon Chang
  • - Annecy Hospital, France Gilles Genin
  • - Centre d'imagerie Jacques Callot, Nancy, France Lionel Cannard
  • - CH Lyon sud, France Xavier Riviere
  • - CHU Nancy-Brabois, France Denis Regent
  • - Chungju Hospital, Konkuk University, Korea Chang Hee Lee
  • - CIM Saint Dizier, France JC Leclerc
  • - Clinic 1, Moscow, Russia Lepikhina Dasha
  • - Ewha Woman's University Hospital, Korea Yoo Kyoung Kim
  • - Geneva University Hospital, Switzerland Philippe Dumont
  • - Hangang SacredHeart Hospital, Korea Eil Seong Lee
  • - Homs National Hospital, Homs, Syria Rami Abou Zalaf
  • - Kangbuk Samsung Hospital, Korea Hyon Joo Kwag
  • - National Taiwan University Hospital, Taiwan Tan Che Kim
  • - Nirman hi-tech diagnostic centre , mumbai, india Minal seth
  • - Ondokuz Mayis University, Samsun, Turkey Cetin Celenk
  • - Shin Kong Wu Ho-Su Memorial Hsopital, Taipei, Taiwan Chen-Chun Lin
  • - Taipei Medical University Hospital Alan Law E Tung
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