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Ann Thorac Surg 2003;76:1735-1737
© 2003 The Society of Thoracic Surgeons

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Case report

Primary intrapulmonary thymoma successfully resected with vascular reconstruction

^a Department of Thoracic Surgery, Sendai Kousei Hospital, Sendai, Japan

Accepted for publication March 25, 2003.

^* Address reprint requests to Dr Ishibashi, Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, 4-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi Pref 980-0875, Japan
e-mail: hishiba{at}kf6.so-net.ne.jp

Primary intrapulmonary thymomas are defined as intrapulmonary tumors without an associated mediastinal component and are very rare. We report a resected case of primary intrapulmonary thymoma with dissection of mediastinal lymph nodes and vascular reconstruction. Because the tumor directly invaded the right brachiocephalic vein, the vein was reconstructed with a graft, and then adjuvant radiation was performed postoperatively. The tumor was diagnosed as a lymphocyte dominant thymoma and B2 type thymoma in the WHO classification. There has been no evidence of recurrence in 6 years. Complete resection of the tumor with vascular reconstruction and adjuvant radiation should be considered in invasive intrapulmonary thymoma.

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