대한흉부영상의학회 Korean Society of Thoracic Radiology

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Weekly Chest CasesArchive of Old Cases

Case No : 499 Date 2007-05-21

  • Courtesy of Yo Won Choi, MD. / Hanyang University Hospital, Seoul, Korea
  • Age/Sex 54 / M
  • Chief ComplaintFacial swelling
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Thymoma, type B3 (Well differenciated thymic carcinoma) invading SVC
Radiologic Findings
Radiological finding: chest radiogphy shows bulging of the right upper mediastinal contour. Enhanced CT show filling defect in the left brachiocephalic vein extending into the SVC. A soft tissue separate from the occluded vein is noted in the anterior mediastinum. Multiple collateral veins are also shown in the chest wall.
Angiography confirms the filling defect in the left brachiocephalic vein and SVC.
Brief Review
Please refer to
Case 139, Case 241, Case 264, Case 334, Case 453,
References
Keywords
Mediastinum, Malignant tumor,

No. of Applicants : 47

▶ Correct Answer : 9/47,  19.1%
  • - Depart of radiology, Inje University Ilsan Paik Hospital, Korea Bae Geun Oh
  • - St Boniface General Hospital, Winnipeg, Canada Owen Chiu
  • - China Medical University Hospital, Taiwan Jun-Jun Yeh
  • - Asan Medical Center, Korea Eun Jin Chae
  • - Annecy hospital, France Gilles Genin
  • - IRSA, La Rochelle, France Denis Chabassiere
  • - ANNEMASSE, Polyclinique de SAVOIE, France Gay-Depassier Philippe
  • - Yongsan Hospital, College of Medicine, Chung-Ang University, Korea Jae Seung Seo
  • - UltraCare, Coimbatore, India Debabrata Das
▶ Correct Answer as Differential Diagnosis : 4/47,  8.5%
  • - Sctimst trivandrum, kerala, India Santhosh Kannath
  • - Deptt. of Radiodiagnosis and Imaging, PGIMER, Chandigarh, India Ram Prakash Galwa
  • - Hangang Sacred Heart Hospital, Korea Eil Seong Lee
  • - Doctors Hospital, Nassau, Bahamas N.B.S. Mani
▶ Semi-Correct Answer : 32/47,  68.1%
  • - Registrar in Radiology, UHL NHS Trust, UK A. Donuru
  • - Anandnagar, Hingne Khurd, Pune, India Bankim J.Amin
  • - Ondokuz Mayis University, Samsun Turkey Cetin Celenk
  • - Nirman Diag Centre, Mumbal, India Padma Kannan
  • - Ruby Hall Clinic, Pune, India Nikhil Unune
  • - Nour El-Islam Radiology Center, Alexandria, Egypt, Elsayed Mohamed Mousa
  • - Priti Chaudhari
  • - Ewha Womans University MokDong Hospital, Korea Yoo Kyung Kim
  • - Seoul National University Bundang Hospital, Korea Eun Ju Chun
  • - National Taiwan University Hospital, Taipei, Taiwan Chin Chung Shu
  • - Kazipet, Warangal, AP, India Pavankumar Vodithala
  • - Vital imaging centre, mumbai, India Ganesh Agrawal
  • - Ruby Hall Clinic, Pune, India John Joseph
  • - Changi General Hospital, Singapore Angeline Poh
  • - Chungmoo General hospital, Korea Jong Hyeon Mo
  • - Regional Imaging Riverina, Australia Rashid Hashmi
  • - Mackay Memorial Hospital, Taipei, Taiwan Chia-Fu Tsai
  • - Severance Hospital, Yonsei University, Korea Yoon Jung Hyun
  • - Balabhai Nanavati hospital, mumbai, India Susheel Kumar
  • - Hospital Sao Paulo, Brazil Israel Missrie
  • - Yongdong Severance Hospital, Korea Park Chul Hwan
  • - India Iyappan Ponnuswamy
  • - Homs National Hospital, Homs - Syria Rami Abou Zalaf
  • - Trupti dabholkar
  • - IRSA La Rochelle, France Jean-Luc BIGOT
  • - Hospital Sotiria, Athens, Greece Vasilios Tzilas
  • - EKH-Berlin, Germany Michael Weber
  • - Nirman Hitech centre, Malald, Apollo Clinic, Kandivali, Mumbai, India Jeshil R. Shah
  • - CHU NIMES, France Blondel Manuel
  • - Shinchon Severance Hospital, Korea Ho-Joon Lee
  • - Max Hospital, New Delhi, India Vickrant Malhotra
  • - CHU Grenoble, France Bing Fabrice
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