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Year : 2019  |  Volume : 52  |  Issue : 5  |  Page : 193-196

Rapid progression of thymoma in a 3-year-old-girl

1 Department of Diagnostic Radiology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City, Taiwan
2 Department of Pediatrics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City, Taiwan
3 Department of Pediatric Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City, Taiwan
4 Department of General Surgery, Lohas Clinic, Taipei City, Taiwan

Correspondence Address:
Dr. Chun-Hung Ko
Department of General Surgery, Lohas Clinic, No. 12, Shida Road, Da'an District, Taipei City 106
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/fjs.fjs_41_19

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Thymoma is an uncommon neoplasm that derived from thymic epithelial cells. Clinically, it is slow-growing and most patients are over 40 years old. Thymoma corresponds to 30% of anterior mediastinal tumors in adults but <1% in pediatric patients. However, thymoma in pediatric group is considered to be highly aggressive. We report a case of invasive thymoma in a 3-year-old girl, presented as respiratory distress with massive pleural effusion. She developed a superior vena cava syndrome soon after admission. A subsequent computed tomography demonstrated a large mediastinal mass with compression of great vessels. Due to the rare occurrence of thymoma at such a young age, an accurate diagnosis was made only after an open biopsy had been performed. The patient underwent a near-complete resection of the mass as well as adjuvant chemotherapy. She has remained well at the 6-year follow-up.

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