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Ann Thorac Surg 1986;42:331-333
© 1986 The Society of Thoracic Surgeons

Articles

Inflammatory Pseudotumor of the Thymus

Noam Harpaz, Ph.D., M.D.*, Allen R. Gribetz, M.D., Daniel J. Krellenstein, M.D., Ph.D., Alberto M. Marchevsky, M.D.

Departments of Pathology, Medicine, and Surgery, the Mount Sinai Medical Center, New York, NY

Accepted for publication November 29, 1985.

* Address reprint requests to Dr. Harpaz, Department of Pathology, The Mount Sinai Medical Center, 1 Gustave L. Levy Pl, New York, NY 10029

A 44-year-old man with inflammatory pseudotumor of the thymus is reported. The patient was seen with fever, myalgia, and dyspnea and was found to have an anterior mediastinal mass and bilateral pleural effusions. The resected lesion consisted of a well-circumscribed mass of chronic inflammatory and fibrous tissue that virtually replaced the thymus. There was no morphological evidence of neoplasia. The patient's symptoms and roentgenographic abnormalities resolved with excision of most of the mass. To our knowledge, this report is the first instance of inflammatory pseudotumor of the thymus.




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