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Ann Thorac Surg 2005;79:323-324
© 2005 The Society of Thoracic Surgeons

Case report

Seeding of Stage I Thymoma Into the Chest Wall 12 Years After Needle Biopsy

Hassan Kattach, MRCSa, Shafqat Hasan, FRCSa, Colin Clelland, FRCPathb, Ravi Pillai, FRCS*,a

a Department of Cardiothoracic Surgery, Oxford, United Kingdom
b Department of Clinical Pathology, John Radcliffe Hospital, Headley Way, Oxford, United Kingdom

Accepted for publication August 13, 2003.

* Address reprint requests to Dr Pillai, Department of Cardiothoracic Surgery, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK
ravi.pillai{at}nds.ox.ac.uk

It is known that benign encapsulated thymoma can pursue an aggressive clinical course on rare occasions. It may recur locally, it may be invasive, or it may metastasize. We present a case of local seeding into the chest wall, presenting 12 years after core needle biopsy and complete excision of the mediastinal tumor. We draw attention to the malignant clinical behavior of some benign stage I thymomas.




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