Kara Hasan Volkan, Sarbay İsmail, Batur Şebnem, Turna Akif
Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, Istanbul, Türkiye.
Department of Pathology, Istanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, Istanbul, Türkiye.
Turk Gogus Kalp Damar Cerrahisi Derg. 2022 Jul 29;30(3):458-461. doi: 10.5606/tgkdc.dergisi.2022.20700. eCollection 2022 Jul.
Thymomas are usually located in the normal location of the thymus in the anterior mediastinum. It is very rare for thymomas to arise primarily intrapericardially. A 76-year-old male patient with a known human immunodeficiency virus positivity and has been under close follow-up for five years was admitted to our clinic. Thoracic computed tomography revealed an intrapericardial mass. Uniportal video-assisted thoracoscopic surgery was performed for the resection of the intrapericardial mass. Pathological examination revealed a type AB thymoma with a 3x3x2.5-cm dimensions (Stage 1). He underwent adjuvant irradiation. He has been doing well without any recurrence for 41 months. In conclusion, resection of intrapericardial masses is feasible and safe. This is the first case with a purely intrapericardial thymoma that was resected via uniportal videoassisted thoracoscopic surgery in the literature.
胸腺瘤通常位于前纵隔胸腺的正常位置。胸腺瘤主要起源于心包内的情况非常罕见。一名76岁男性患者，已知感染人类免疫缺陷病毒，已接受密切随访五年，入住我院。胸部计算机断层扫描显示心包内有肿块。采用单孔电视辅助胸腔镜手术切除心包内肿块。病理检查显示为AB型胸腺瘤，大小为3×3×2.5厘米（1期）。他接受了辅助放疗。41个月来他情况良好，无任何复发。总之，心包内肿块切除术是可行且安全的。这是文献中首例通过单孔电视辅助胸腔镜手术切除的单纯心包内胸腺瘤病例。
