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Ann Thorac Surg 1988;46:693-694
© 1988 The Society of Thoracic Surgeons

Articles

Symptomatic Mediastinal Thymic Cysts

James W. Davis, M.D.*, Federico T. Florendo, M.D.

Department of Surgery, University of California at San Diego Medical Center, San Diego, CA, and the Department of Surgery, St. Luke's Hospital, Phoenix, AZ

Accepted for publication July 29, 1988.

* Address reprint requests to Dr. Davis, UCSD Medical Center H 640 B, 225 Dickinson St, San Diego, CA 92103

The case of a symptomatic, hemorrhagic mediastinal thymic cyst associated with idiopathic thrombocytopenic purpura is reported and the literature reviewed. Contrary to previous reports, mediastinal thymic cysts are frequently symptomatic (39%), presenting with complaints of tracheal and esophageal compression. The age distribution is the same in symptomatic and asymptomatic patients. Complete excision remains the treatment of choice.




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