Micronodular Thymoma with Lymphoid Stroma in a Multilocular Thymic Cyst: A Case Study
김나래, 이재익, 하승연,
소속 상세정보
김나래 ( Kim Na-Rae )
Gachon University Gil Medical Center Department of Pathology
이재익 ( Lee Jae-Ik )
Gachon University Gil Medical Center Department of Thoracic Surgery
하승연 ( Ha Seung-Yeon )
Gachon University Gil Medical Center Department of Pathology
KMID : 0357920130470040392
Abstract
Herein, we report a case of micronodular thymoma with lymphoid stroma in a previously healthy 73-year-old male. Thymectomy was performed. The solid and macrocystic masses were encapsulated with focal invasion. The solid portion consisted of nodules of bland-looking spindle or round epithelial cells in lymphoid stroma containing prominent germinal centers. The epithelial cells had moderate amount of cytoplasm and occasional mucin production. The cystic portion was lined with cuboidal epithelium. According to World Health Organization (WHO) classification, the mass was diagnosed as a micronodular thymoma with lymphoid stroma accompanied by a pre-existing multilocular thymic cyst. Micronodular thymoma with lymphoid stroma, a possible variant of type A thymoma, is an extremely rare tumor. This so-called “unusual” variant may imply the schematic weakness of the current WHO classification that cannot cover all morphologic types. Further study is recommended for clarification of this variant and its incorporation into the current classification.
키워드
Thymoma; Thymic cyst; Lymphoid tissue; Germinal center
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