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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr0420102958.
Published online Nov 2, 2010. doi:  10.1136/bcr.04.2010.2958
PMCID: PMC3028107
Rare disease
A typical thymic carcinoid tumour within a thymolipoma: report of a case and review of combined tumours of the thymus
Christina Steger,1 Hans-Joerg Steiner,2 Katharina Moser,2 Heinrich Fiechtl,3 Patrizia Moser,2 Thomas Schmid,4 and Ralf Joachim Rieker2
1Department of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria
2Department of Pathology, Innsbruck Medical University, Innsbruck, Austria
3Schlitters, Austria
4Department of General, Visceral and Transplant Surgery, Innsbruck Medical University, Innsbruck, Austria
Correspondence to Christina Steger, Christina.M.Steger/at/
CS and HS contributed equally to this work.
Thymolipomas are rare tumours located in the anterior mediastinum. Sometimes these tumours may be combined with thymomas or lymphomas. We present a unique case of a thymic carcinoid arising within a thymolipoma. A 68-year-old patient presented with chronic chest and neck pain, which was initially thought to be caused by coronary artery disease. A chest x-ray, exercise tolerance test and coronary angiography were unremarkable. The following CT scan of the neck and chest showed a small tumour in the anterior mediastinum. A robotic-assisted thymectomy was performed and histological examination revealed a neuroendocrine tumour of the thymus within a thymolipoma. The patient was discharged 3 days after surgery in good general condition.
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