Takashima, Mika National Hospital Organization Kochi Hospital|Tokushima University KAKEN Search Researchers
Kagawa, Kozo National Hospital Organization Kochi Hospital|Tokushima University
Sawada, Toru National Hospital Organization Kochi Hospital
Hino, Hiroyuki National Hospital Organization Kochi Hospital
Naruse, Keishi National Hospital Organization Kochi Hospital
Takeuchi, Eiji National Hospital Organization Kochi Hospital
Shinohara, Tsutomu National Hospital Organization Kochi Hospital|Tokushima University Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Type A thymoma
Background: The prognosis of thymoma with cardiac tamponade is generally poor. Most of the reported thymomas with cardiac tamponade were type B or type AB (mixed thymoma), and cardiac tamponade due to type A thymoma, which has a better prognosis compared to type B thymoma, is extremely rare.
Case presentation: We encountered a case of cardiac tamponade in a 71-year-old male. He visited our emergency department due to exacerbation of fatigue and dyspnea on exertion that lasted for two weeks. Chest imaging revealed a large amount of pericardial fluid and a contrast-enhanced tumor with calcification in the anterior mediastinum. The patient underwent thoracoscopic tumor biopsy and pathological examinations revealed type A thymoma. In this case, long-term disease-free survival (7.5 years) was achieved by multidisciplinary treatment (preoperative chemotherapy, surgical excision, and postoperative radiation therapy), in accordance with the histological type.
Conclusions: This case indicates that neoplastic cardiac tamponade, even in elderly patients, should not necessarily be regarded as a terminal cancer and requires a systematic investigation for underlying causes.
BMC Pulmonary Medicine
BioMed Central|Springer Nature
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