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Year :2016
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Month :
July-August
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Volume :
5
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Issue :
3
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Page :
-
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Giant Thymoma from Ectopic Thymic Tissue in Children: A Case Report and Review of Literature
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Correspondence Address :
Jyoti Prasad Kalita, Manuj Kumar Saikia, Md Yunus, Jaya Mishra, Reuben Lamiaki Kynta,
Dr. Jyoti Prasad Kalita,
Assistant Professor, Department of Cardiothoracic and
Vascular Surgery, North Eastern Indira Gandhi Regional
Institute of Health and Medical Sciences, Shillong,
Meghalaya-793018, India.
E-mail: emailtojpk@gmail.com, j.p.kalita17@gmail.com
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Introduction: Thymoma is a rare tumor in paediatric age group. It is a locally invasive slow growing tumor with occasional occurrence of extra thoracic metastasis. The report of incidence of thymoma from ectopic thymic tissue is extremely rare and to the best of our knowledge, no case yet has been reported on a giant thymoma arising from ectopic thymic tissue in paediatric age group. We present a case of giant thymoma originating from ectopic thymic tissue in a young girl. A 13 years old female child had complaints of failure to thrive and she was found to have a large mass in the right hemithorax with encasement of mediastinal vessels in investigations. Intraoperatively, well encapsulated mass with size of 20 × 30× 15 cm was resected completely through a lower right fourth space “trap door” thoracotomy incision. Histology confirmed the tumor as World Health Organization type B2 thymoma with heavy proliferation of lymphocytes and in Masaoka stage I. The post operative course of the patient was uneventful. The rarity of it among paediatric patient makes the management challenging.
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