Thymic Epidermoid Cyst: Clinical and Imaging Manifestations of This Rare Anterior Mediastinal Mass

Thymic epidermoid cysts are an extremely rare entity. These arise from epidermal cells that migrate to the thymus. The radiologic diagnosis of this rare lesion is challenging. We describe a case of an otherwise healthy 35-year-old woman who presented with an acute onset of chest pain and shortness o...

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Main Authors: Jawad M. Qureshi, Brian Pagano, Jeffrey Mueller, Lana Schumacher, Claudia Velosa, Matthew S. Hartman
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2016/5789321
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author Jawad M. Qureshi
Brian Pagano
Jeffrey Mueller
Lana Schumacher
Claudia Velosa
Matthew S. Hartman
author_facet Jawad M. Qureshi
Brian Pagano
Jeffrey Mueller
Lana Schumacher
Claudia Velosa
Matthew S. Hartman
author_sort Jawad M. Qureshi
collection DOAJ
description Thymic epidermoid cysts are an extremely rare entity. These arise from epidermal cells that migrate to the thymus. The radiologic diagnosis of this rare lesion is challenging. We describe a case of an otherwise healthy 35-year-old woman who presented with an acute onset of chest pain and shortness of breath. She was found to have an anterior mediastinal mass. The imaging findings were, however, not characteristic for any single diagnostic entity. Since the imaging was inconclusive, surgical resection was performed for definitive diagnosis. The mass was found to be a thymic epidermoid cyst. This case underlines the significance for radiologists to be aware that epidermoid cysts can occur in the thymus and should be considered in the differential diagnosis for a heterogeneous anterior mediastinal mass.
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institution Kabale University
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publishDate 2016-01-01
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series Case Reports in Radiology
spelling doaj-art-932a9999021d4bcc9d9ef9835161d4c72025-02-03T05:49:36ZengWileyCase Reports in Radiology2090-68622090-68702016-01-01201610.1155/2016/57893215789321Thymic Epidermoid Cyst: Clinical and Imaging Manifestations of This Rare Anterior Mediastinal MassJawad M. Qureshi0Brian Pagano1Jeffrey Mueller2Lana Schumacher3Claudia Velosa4Matthew S. Hartman5Department of Radiology, Allegheny Health Network, Pittsburgh, PA, USATemple University School of Medicine, Philadelphia, PA, USADepartment of Radiology, Allegheny Health Network, Pittsburgh, PA, USADepartment of Surgery, Allegheny Health Network, Pittsburgh, PA, USADepartment of Pathology, Allegheny Health Network, Pittsburgh, PA, USADepartment of Radiology, Allegheny Health Network, Pittsburgh, PA, USAThymic epidermoid cysts are an extremely rare entity. These arise from epidermal cells that migrate to the thymus. The radiologic diagnosis of this rare lesion is challenging. We describe a case of an otherwise healthy 35-year-old woman who presented with an acute onset of chest pain and shortness of breath. She was found to have an anterior mediastinal mass. The imaging findings were, however, not characteristic for any single diagnostic entity. Since the imaging was inconclusive, surgical resection was performed for definitive diagnosis. The mass was found to be a thymic epidermoid cyst. This case underlines the significance for radiologists to be aware that epidermoid cysts can occur in the thymus and should be considered in the differential diagnosis for a heterogeneous anterior mediastinal mass.http://dx.doi.org/10.1155/2016/5789321
spellingShingle Jawad M. Qureshi
Brian Pagano
Jeffrey Mueller
Lana Schumacher
Claudia Velosa
Matthew S. Hartman
Thymic Epidermoid Cyst: Clinical and Imaging Manifestations of This Rare Anterior Mediastinal Mass
Case Reports in Radiology
title Thymic Epidermoid Cyst: Clinical and Imaging Manifestations of This Rare Anterior Mediastinal Mass
title_full Thymic Epidermoid Cyst: Clinical and Imaging Manifestations of This Rare Anterior Mediastinal Mass
title_fullStr Thymic Epidermoid Cyst: Clinical and Imaging Manifestations of This Rare Anterior Mediastinal Mass
title_full_unstemmed Thymic Epidermoid Cyst: Clinical and Imaging Manifestations of This Rare Anterior Mediastinal Mass
title_short Thymic Epidermoid Cyst: Clinical and Imaging Manifestations of This Rare Anterior Mediastinal Mass
title_sort thymic epidermoid cyst clinical and imaging manifestations of this rare anterior mediastinal mass
url http://dx.doi.org/10.1155/2016/5789321
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