Orhan BOZOĞLAN, Abdullah SÖKMEN, Erdinç EROĞLU, Bülent MEŞE

Resection of a giant thymoma and coronary artery bypass graft surgery: A case report

Timomalar, epitel hücreleri ve lenfositler ile karakterize ön mediastinal neoplazmlar olarak tanımlanır.Genellikle kapsüllü ve iyi diferansiye tümörler olmalarına karşın, lokal yayılım, plevral yayılım ve toraks dışı metastazlar da görülebilmektedir. Bu yazıda, nefes darlığı yakınması ile başvuran ön mediastende devtimoma ve koroner arter hastalığı olan ve timektomi ve koroner arter baypas greft cerrahisi yapılan nadir bir olgu sunuldu.

Dev timoma rezeksiyonu ve koroner arter baypas greft cerrahisi: Olgu sunumu

Thymomas are defined as anterior mediastinal neoplasms,characterized by epithelial cells and lymphocytes. Althoughthey are often encapsulated and well differentiatedtumors, they can show local invasion, pleural invasion orextrathoracic metastasis. In this article, we report a rarecase who was admitted with the complaint of dyspnea witha giant thymoma in the anterior mediastine and coronaryartery disease and underwent thymectomy and coronaryartery bypass graft surgery.

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1. Cohen DJ, Ronnigen LD, Graeber GM, Deshong JL, Jaffin J, Burge JR, et al. Management of patients with malignant thymoma. J Thorac Cardiovasc Surg 1984;87:301-7.
2. Wilkins EW Jr, Edmunds LH Jr, Castleman B. Cases of thymoma at the Massachusetts General Hospital. J Thorac Cardiovasc Surg 1966;52:322-30.
3. Fazlıoğulları O, Atalan N, Gürer O, Akgün S, Arsan S. Cardiac tamponade from a giant thymoma: case report. J Cardiothorac Surg 2012;7:14.
4. Maggi G, Casadio C, Cavallo A, Cianci R, Molinatti M, Ruffini E. Thymoma: results of 241 operated cases. Ann Thorac Surg 1991;51:152-6.
5. Shamji F, Pearson FG, Todd TR, Ginsberg RJ, Ilves R, Cooper JD. Results of surgical treatment for thymoma. J Thorac Cardiovasc Surg 1984;87:43-7.
6. de Bucourt M, Swierzy M, Dankof A, Teichgräber U, Rückert JC. Observation and extirpation of a giant-size type-B2 thymoma IIb with its histological, macroscopic, and computer tomogram correlate, and literature review. Rare Tumors 2010;2:e30.
7. Ohmi M, Ohuchi M. Recurrent thymoma in patients with myasthenia gravis. Ann Thorac Surg 1990;50:243-7.
8. Nakahara K, Ohno K, Hashimoto J, Maeda H, Miyoshi S, Sakurai M, et al. Thymoma: results with complete resection and adjuvant postoperative irradiation in 141 consecutive patients. J Thorac Cardiovasc Surg 1988;95:1041-7.
9. Bernatz PE, Khonsari S, Harrison EG Jr, Taylor WF. Thymoma: factors influencing prognosis. Surg Clin North Am 1973;53:885-92.
10. Liman T, Taştepe İ, Demircan S, Topçu S, Çetin G, Kuzucu A ve ark. Timomalarda tedavi ve prognoz. Turk Gogus Kalp Dama 2000;10:793-6.
11. Erdoğan MB, Korkmaz, Ogutman CC, Uçok R, Kısacıkoglu B. Incidental detection of a thymoma during emergency coronary artery surgery: a combined approach. Turk Gogus Kalp Dama 2007;15:244-5.
12. Abdullah F, Loon LG. An incidental finding of thymic carcinoid during urgent CABG operation. Heart Surg Forum 2002;5:E35-6.