154 Thymic Carcinoid

CASE 154


image Clinical Presentation


45-year-old man with Cushing syndrome


image Radiologic Findings


PA (Fig. 154.1) and lateral (Fig. 154.2) chest radiographs demonstrate a large, well-defined anterior mediastinal mass that extends predominantly to the left. Note the significant mass effect on the anterior trachea (Fig. 154.2). Contrast-enhanced chest CT (mediastinal window) (Figs. 154.3, 154.4) demonstrates a large, lobular, slightly heterogeneous anterior mediastinal mass with marked mass effect on the great vessels and the airways.


image Diagnosis


Thymic Carcinoid


image Differential Diagnosis


• Thymoma


• Thymic Carcinoma


• Lymphoma


• Seminoma



image


Fig. 154.1



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Fig. 154.2




image


Fig. 154.3



image


Fig. 154.4


image Discussion


Background


Thymic carcinoid is a rare primary malignant neuroendocrine thymic neoplasm.


Etiology

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Jan 14, 2016 | Posted by in RESPIRATORY IMAGING | Comments Off on 154 Thymic Carcinoid

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