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Ann Thorac Surg 1992;53:507-509
© 1992 The Society of Thoracic Surgeons

Articles

Invasive thymoma with intracaval growth into the right atrium

Kohei Yokoi, MD*, Naoto Miyazawa, MD, Kiyoshi Mori, MD, Yoshikuni Saito, MD, Keigo Tominaga, MD, George Imura, MD, Kayako Shimamura, MD, Takashi Hirotani, MD, Issei Kiso, MD

Divisions of Thoracic Diseases and Pathology, Tochigi Cancer Center, and Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan

Accepted for publication August 9, 1991.

* Address reprint requests to Dr Yokoi, Division of Thoracic Diseases, Tochigi Cancer Center, 4-9-13 Yohnan, Utsunomiya, Tochigi 320, Japan.

We report an unusual case of invasive thymoma with intracaval growth into the right atrium. Computed tomography and venacavography demonstrated this manner of extension of thymoma. The tumor was completely removed by means of cardiopulmonary bypass after four courses of chemotherapy. Multidisciplinary treatment for invasive thymoma with this growth pattern is thought to be useful.




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