Onteddu Nirmal Kumar Reddy, Mareddy Naga Sai Rasagna, Vulasala Sai Swarupa R, Onteddu Jayabharath, Virarkar Mayur
Department of Internal Medicine, University of Florida College of Medicine, Jacksonville, FL 32209, United States.
Department of Diagnostic Radiology, University of Alabama, Birmingham, AL 35294, United States.
World J Clin Cases. 2025 Jan 26;13(3):95167. doi: 10.12998/wjcc.v13.i3.95167.
A recent case report provided a patient scenario, wherein, a 39-year-old male patient presented with occasional palpitations, headache, and fever. Evaluation of tumor markers did not show any abnormal results. Subsequently, a computed tomography (CT) scan was undertaken, and its findings were affirmative of thymic cancer. Finally, the postoperative histopathological assessment of the mass, after its resection, confirmed it as an anterior mediastinal multilocular thymic cyst (MTC), with concurrent acute upper respiratory tract infection and acute myocarditis. Accordingly, this case report advocates the need for a preoperative histopathological examination with CT imaging to minimize the risk of confusing an MTC with a malignant thymic tumor.
最近的一份病例报告呈现了一个患者病例，其中，一名39岁男性患者出现偶尔心悸、头痛和发热症状。肿瘤标志物评估未显示任何异常结果。随后进行了计算机断层扫描（CT），其结果证实为胸腺癌。最后，对切除肿块进行术后组织病理学评估，证实其为前纵隔多房性胸腺囊肿（MTC），同时伴有急性上呼吸道感染和急性心肌炎。因此，本病例报告主张术前进行组织病理学检查并结合CT成像，以尽量降低将MTC与恶性胸腺肿瘤混淆的风险。
