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Malignant Invasive Thymoma with Pleural Involvement Diagnosed by FNA – A Case Report

Raj BSS, Raju KVVN, Sudarshan G, Sudha A

Abstract

The incidence of thymoma in our part of India is minimal. We were able to diagnose a long-standing, misdiagnosed case of invasive thymoma by initial pleural fluid analysis and CT guided FNAC and later on, confirmed the diagnosis by carrying out immunohistochemistry of the biopsy specimen. He was successfully treated with external radiation and chemotherapy even though he presented to us as a stage IVA disease. After a latent period of 6 months, he succumbed to metastasis in the brain. We  present this case for its rarity in our region and the initial good response followed by rapid deterioration. 

Journal of Cytology 2004; 21 (3) : 159-162

Key words: Invasive Thymoma, Mediastinal/Hilar Mass, Pleural Fluid.