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Victor F. Trastek
Claude Deschamps
Peter C. Pairolero
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Ann Thorac Surg 1994;58:1534-1536
© 1994 The Society of Thoracic Surgeons

Articles

Lipothymoma with red cell aplasia, hypogammaglobulinemia, and lichen planus

Kieran G. McManus, MD, Mark S. Allen, MD*, Victor F. Trastek, MD, Claude Deschamps, MD, Thomas B. Crotty, MD, Peter C. Pairolero, MD

Section of General Thoracic Surgery and Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota USA

Accepted for publication March 28, 1994.

* Address reprint requests to Dr Allen, Mayo Clinic, 200 First St SW, Rochester, MN 55905.

We describe a patient who had lipothymoma with red cell aplasia, hypogammaglobulinemia, and lichen planus. Parathymic syndromes described in association with lipothymomas also include myasthenia gravis, hyperthyroidism, lymphangioma, aplastic anemia, chronic lymphocytic leukemia, and Hodgkin's disease. The behavior of lipothymoma is generally benign, although local recurrence was noted in 1 patient who had an incomplete resection. Lipothymoma should be considered in the diagnosis of mediastinal tumors and parathymic syndromes, and also in patients with cardiomegaly, phrenic nerve palsy, and a widened mediastinum.




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