An operative case of synchronous thymic carcinoma and lung carcinoma

Abstract

A 65-year-old female complained of chest discomfort and a mediastinal mass was found on chest roentogenography. Chest CT showed an anterior mediastinal mass and a small nodule with spiculae in S¹⁰ of the right lung. She had swelling of the left supraclavicular lymph nodes and a pathological study revealed metastases of poorly differentiated carcinoma. Extended thymec tomy with partial resection of the right upper lobe and lymph nodes dissection of cervical, mediastinal, and hilar lymph nodes and S¹⁰ segmentectomy of right lung were performed by median stenotomy and thoracoscopic approach. A pathological examination revealed the coexistence of large cell neuroendocrine carcinoma of the thymus and bronchiolo-alveolar cell type adenocarcinoma of the lung.