Surgery Resection of a Massive Thymic Carcinoma during Urgent Coronary Artery Bypass Grafting

Authors

  • Selman Dumani Service of Cardiac Surgery, University Hospital Center “Mother Theresa”, Tirana http://orcid.org/0000-0002-7971-0210
  • Ermal Likaj Service of Cardiac Surgery, University Hospital Center “Mother Theresa”, Tirana
  • Aferdita Veseli Service of Cardiac Surgery, University Hospital Center “Mother Theresa”, Tirana
  • Stavri Llazo Service of Cardiac Surgery, University Hospital Center “Mother Theresa”, Tirana
  • Leart Berdica Departement of Pathology, University Hospital Center “Mother Theresa”, Tirana
  • Ali Refatllari Service of Cardiac Surgery, University Hospital Center “Mother Theresa”, Tirana

DOI:

https://doi.org/10.3889/oamjms.2018.249

Keywords:

Thymoma, Thymic carcinoma, Concomitant surgery

Abstract

BACKGROUND: Thymic carcinoma is a very rare tumour. It is classified as thymoma type C according to World Health Organization classification. There are not many publications of simultaneous surgical treatment of thymoma during cardiac surgery interventions.

CASE REPORT: We present a case of simultaneous surgical treatment of incidentally discovered thymic carcinoma during an urgent coronary artery by-pass operation. A 55-year-old man with diagnosis three coronary vessel diseases indicated urgent by-pass surgery. The patient underwent triple coronary bypass surgery. During the intervention, it was discovered incidentally a strong mass 15 x 12 cm located in the right pleural space. A tumour was excised totally, and biopsy referred thymoma type C or thymic carcinoma. The patient did very well early postoperatively. He was referred to oncologist clinicians for further treatment. The patient was clinically very good for at least 1.5 years after surgery.

CONCLUSION: We think that simultaneous surgical treatment of thymoma, whenever it is encountered during cardiac surgery procedures, is the recommended solution.

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Author Biographies

Selman Dumani, Service of Cardiac Surgery, University Hospital Center “Mother Theresa”, Tirana

Departement of Cardiac Surgery

Ermal Likaj, Service of Cardiac Surgery, University Hospital Center “Mother Theresa”, Tirana

Departement of Cardiac Surgery

Aferdita Veseli, Service of Cardiac Surgery, University Hospital Center “Mother Theresa”, Tirana

Departement of Cardiac Surgery

Stavri Llazo, Service of Cardiac Surgery, University Hospital Center “Mother Theresa”, Tirana

Departement of Cardiac Surgery

Leart Berdica, Departement of Pathology, University Hospital Center “Mother Theresa”, Tirana

Departement of Pathology

References

Engels EA, Pfeiffer RM. Malignant thymoma in the United States: demographic patterns in incidence and associations with subsequent malignancies Int J Cancer. 2003;105:546–551. https://doi.org/10.1002/ijc.11099 PMid:12712448

Ettinger DS, Riely GJ, Akerley W, Borghaei H, Chang AC, Cheney RT, Chirieac LR, D'Amico TA, Demmy TL, Govindan R, Grannis FW. Thymomas and thymic carcinomas. Journal of the National Comprehensive Cancer Network. 2013; 11(5):562-76. https://doi.org/10.6004/jnccn.2013.0072 PMid:23667206

Poullis M, Punjabi P. Concomitant Thymectomy and Cardiac Operation in a Patient with Pure Red Cell Aplasia. Ann Thorac Surg. 2001; 72:621–3. https://doi.org/10.1016/S0003-4975(00)02313-4

Bozoğlan O, Meşe B, Eroğlu E, Sökmen A. Resection of a giant thymoma and coronary artery bypass graft surgery: a case report. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2013; 21(4):1094-1096. https://doi.org/10.5606/tgkdc.dergisi.2013.7004

Al-Smady MM, Hammdan FF, Abu-Abeeleh MM, Massad IM. Incidental invasive thymoma during coronary artery bypass surgery. Saudi Med J. 2009; 30(1):140-142. PMid:19139788

Omidifar N, Mokhtari M, Shokripour M. Two Invasive Thymomas Incidentally Found during Coronary Artery Bypass Graft Surgery. Case Reports in Pathology. 2016; 1516521. https://doi.org/10.1155/2016/1516521

Agrifoglio M, Barili F, Dainese L, Cappai A, Cheema FH, Biglioli P. An occasional diagnosis of myasthenia gravis - a focus on thymus during cardiac surgery: a case report. Journal of Cardiothoracic Surgery. 2009; 4:55. https://doi.org/10.1186/1749-8090-4-55 PMid:19811646 PMCid:PMC2764702

Mirsadraee S, Shah SS, Kumar B, Kaul P. Incidental locally infiltrating malignant thymoma and coronary artery bypass surgery-excision should always be considered. J Card Surg. 2005; 20(3):291-2. https://doi.org/10.1111/j.1540-8191.2005.200455.x PMid:15854100

Ohshima K, Ishikawa S, Yoshida I, Ohtaki A, Ohtani Y, Takahashi T, Satoh Y, Aizaki M, Morishita Y. A concomitant operation of coronary artery bypass grafting and thymectomy: a case report. Kyobu Geka. 1994; 47(12):1029-31. PMid:7990283

Abdullah F, Loon LG. An incidental finding of thymic carcinoid during urgent CABG operation. Heart Surg Forum. 2002; 5(4):E35-6. PMid:12538128

Kouzu S, Fujii N, Shinohara M, Sode Y, Yoshioka J, Akahane K, Tozuka N, Sawaki S. A case of angina pectoris and aortic regurgitation combined with thymoma. Kyobu Geka. 1993; 46(4):359-62. PMid:8468866

Falkson CB, Bezjak A, Darling G, Gregg R, Malthaner R, Maziak DE, Yu E, Smith CA, McNair S, Ung YC, Evans WK. The management of thymoma: a systematic review and practice guideline. Journal of Thoracic Oncology. 2009; 4(7):911-9. https://doi.org/10.1097/JTO.0b013e3181a4b8e0 PMid:19557895

Zhai Y, Hui Z, Ji W, Wang X, Liang J, Mao Y, Luo Y, Zou S, Lv J, Zhou Z, Chen D, Zhang H, Xiao Z, Wang L, Feng Q. A Single-Center Analysis of the Treatment and Prognosis of Patients with Thymic Carcinoma. Ann Thorac Surg. 2017; 104(5):1718-1724. https://doi.org/10.1016/j.athoracsur.2017.06.025 PMid:28969896

Song Z, Zhang Y. Outcomes after surgical resection of thymic carcinoma: A study from a single tertiary referral centre. Eur J Surg Oncol. 2014; 40(11):1523-7. https://doi.org/10.1016/j.ejso.2014.05.011 PMid:24953416

Published

2018-06-16

How to Cite

1.
Dumani S, Likaj E, Veseli A, Llazo S, Berdica L, Refatllari A. Surgery Resection of a Massive Thymic Carcinoma during Urgent Coronary Artery Bypass Grafting. Open Access Maced J Med Sci [Internet]. 2018 Jun. 16 [cited 2024 Apr. 25];6(6):1098-100. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2018.249

Issue

Section

C- Case Reports

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