Saint-Blancard P, Andriamparany J, Arigon J-P, Margery J
Service d'anatomie pathologique, hôpital d'instruction des armées Percy, Clamart, France.
Rev Pneumol Clin. 2010 Oct;66(5):330-4. doi: 10.1016/j.pneumo.2009.10.002. Epub 2010 Feb 18.
Among the epithelial tumours of the thymus, thymic carcinomas are rare, involving more aggressive locoregional behaviour and a poor prognosis. More than one-third of cases present lymph node metastasis during an evaluation of the extension of a primitive mediastinal tumour of thymic origin. The authors report an unusual case in a 46-year-old woman presenting a metastatic form. The diagnosis of epidermoid thymic carcinoma was based on the histopathological examination of a right supraclavicular lymph node, associated with an anterior radiological mediastinal tumoral syndrome, raising the delicate problem of its diagnosis and treatment.
