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Year : 2018  |  Volume : 7  |  Issue : 5  |  Page : 1079-1082

Giant thymolipoma of mediastinum and neck – initially misdiagnosed as liposarcoma by core needle biopsy

1 Respiratory Diseases and TB Research Center, Razi Hospital, Guilan University of Medical Science, Rasht, Iran
2 Department of Pathology, Guilan University of Medical Sciences, Rasht, Iran
3 Vascular Surgery and Dialysis Research Center, Razi Clinical Research and Development Center, Guilan University Medical Science, Rasht, Iran

Correspondence Address:
Dr. Mohammad Reza Asgary
Inflammatory Lung Disease Research Center, School of Medicine, Razi Hospital, Guilan University of Medical Science, Rasht
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_228_17

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Thymolipomas are rare benign tumors, constituting one of the differential diagnoses of an anterior mediastinal mass. These tumors may have an indolent, asymptomatic course, often achieving massive dimensions before presentation. When it is symptomatic, respiratory symptoms predominate. We report a case of thymolipoma in a 30-year-old male complaining of heaviness and constricting type of chest pain and neck swelling of 1-year duration. Computed tomography scan finding revealed a space-occupying lesion in the anterior mediastinum and extend to the right side of the mediastinum, neck, and left hemithorax. A sono-guided core needle biopsy was carried out which identified an atypical cell and was suspicious to liposarcoma. The tumor was completely excised through “posterolateral thoracotomy.” Postoperative histopathological examination confirmed the diagnosis of thymolipoma. This is the second case we have reported from our institution.

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