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Ann Thorac Surg 2001;72:1367-1369
© 2001 The Society of Thoracic Surgeons

Case report

Multilocular thymic cyst associated with Sjögren’s syndrome

Kazuya Kondo, MD, PhDa, Takanori Miyoshi, MD, PhDa, Syouji Sakiyama, MD, PhDa, Yukio Shimosato, MD, PhDb, Yasumasa Monden, MD, PhDa

a Second Department of Surgery, School of Medicine, University of Tokushima, Tokushima, Japan
b Department of Pathology, Keio University School of Medicine, Tokyo, Japan

Accepted for publication November 13, 2000.

Address reprint requests to Dr Kondo, Second Department of Surgery, School of Medicine, University of Tokushima, Kuramoto-cho, Tokushima, 770-8503, Japan
e-mail: kondo{at}clin.med.tokushima-u.ac.jp

A 61-year-old woman, who had been diagnosed as having Sjögren’s syndrome, developed an anterior mediastinal mass. She was diagnosed with Sjögren’s syndrome with thymoma, preoperatively. Extended thymectomy was performed. Macroscopically, the mediastinal mass showed thick-walled multiloculated cavities filled with turbid yellow fluid. Microscopically, the cyst lining was continuous with thymic lobules in the wall with inflammatory process, cholesterol granuloma formation, and prominent lymph follicular hyperplasia. She was diagnosed with multilocular thymic cysts associated with Sjögren’s syndrome.




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