• Users Online:577
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2016  |  Volume : 5  |  Issue : 3  |  Page : 206-209

Thymic carcinoma diagnosed by using endoscopic ultrasound with fine-needle aspiration


1 Department of Internal Medicine, University of Texas Health Science Center at Houston, Texas, USA
2 Department of Gastroenterology and Hepatology, University of Texas Health Science Center at Houston, Texas, USA
3 Department of Pathology and Laboratory Medicine, University of Texas Health Science Center at Houston, Texas, USA

Correspondence Address:
Pragnesh Patel
University of Texas Health Science Center at Houston, Houston, Texas
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2303-9027.183975

Rights and Permissions

There is a paucity of literature on the use of endoscopic ultrasound (EUS) for evaluating superior mediastinal structures, especially the thymus gland. We report a case of thymic carcinoma diagnosed by using EUS elastography with strain ratio and fine-needle aspiration (FNA). A 64-year-old woman presented with altered mental status and was diagnosed with autoimmune encephalitis. Further work-up suggested a superior mediastinal mass, for which she underwent EUS. A hypoechoic mass was found in the superior mediastinum at the level of the aortic arch. Real-time EUS elastography showed a predominantly blue hue to the mass concerning for malignancy. FNA of the mass was performed, which revealed numerous large neoplastic cells under a background of a small lymphoid infiltrate. Immunohistochemistry was strongly positive for PAX8, pancytokeratin, and CAM5.2. The pathologic and immunohistochemical stains were consistent with thymic carcinoma.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1110    
    Printed13    
    Emailed0    
    PDF Downloaded154    
    Comments [Add]    

Recommend this journal