Journal of Cytology
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CASE REPORT
Year : 2004  |  Volume : 21  |  Issue : 3  |  Page : 159-162

Malignant invasive thymoma with pleural involvement diagnosed by FNA - A case report


1 Senior Consultant Pulmonologist, Medwin Hospitals, 100- Raghava Ratna Towers, Chirag Ali Lane, Hyderabad - 500001, Andhra Pradesh, India
2 Senior Consultant in Surgical Oncology, Medwin Hospitals, 100- Raghava Ratna Towers, Chirag Ali Lane, Hyderabad - 500001, Andhra Pradesh, India
3 Senior Consultant Oncologist, Medwin Hospitals, 100- Raghava Ratna Towers, Chirag Ali Lane, Hyderabad - 500001, Andhra Pradesh, India
4 Chief Pathologist, Medwin Hospitals, 100- Raghava Ratna Towers, Chirag Ali Lane, Hyderabad - 500001, Andhra Pradesh, India

Correspondence Address:
A Sudha
Chief Pathologist, Medwin Hospitals, 100-Raghava Ratna Towers, Chirag Ali Lane, Hyderabad - 500 001
India
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Source of Support: None, Conflict of Interest: None


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The incidence of thymoma in our part of India is minimal. We were able to diagnose a long-standing, misdiagnosed case of invasive thymoma by initial pleural fluid analysis and CT guided FNAC and later on, confirmed the diagnosis by carrying out immunohistochemistry of the biopsy specimen. He was successfully treated with external radiation and chemotherapy even though he presented to us as a stage IVA disease. After a latent period of 6 months, he succumbed to metastasis in the brain. We present this case for its rarity in our region and the initial good response followed by rapid deterioration.


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