香川, 耕造 National Hospital Organization Kochi Hospital|Tokushima University
澤田, 徹 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
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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