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BMJ Case Rep. 2010; 2010: bcr0420102958.
Published online 2010 November 2. 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


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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