Two Cases of Ectopic Hamartomatous Thymoma Masquerading as Sarcoma

Ectopic hamartomatous thymoma (EHT) is an extremely rare benign tumor. EHTs are difficult to differentiate from sarcomas, especially synovial sarcomas. We encountered two cases of EHT that were referred from other hospitals because sarcoma was suspected. In these cases, fusion gene detection via pol...

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Main Authors: Takahito Kondo, Yukiko Sato, Hiroko Tanaka, Toru Sasaki, Kazuyoshi Kawabata, Hiroki Mitani, Hiroyuki Yonekawa, Hirofumi Fukushima, Wataru Shimbashi
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2017/1672919
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author Takahito Kondo
Yukiko Sato
Hiroko Tanaka
Toru Sasaki
Kazuyoshi Kawabata
Hiroki Mitani
Hiroyuki Yonekawa
Hirofumi Fukushima
Wataru Shimbashi
author_facet Takahito Kondo
Yukiko Sato
Hiroko Tanaka
Toru Sasaki
Kazuyoshi Kawabata
Hiroki Mitani
Hiroyuki Yonekawa
Hirofumi Fukushima
Wataru Shimbashi
author_sort Takahito Kondo
collection DOAJ
description Ectopic hamartomatous thymoma (EHT) is an extremely rare benign tumor. EHTs are difficult to differentiate from sarcomas, especially synovial sarcomas. We encountered two cases of EHT that were referred from other hospitals because sarcoma was suspected. In these cases, fusion gene detection via polymerase chain reaction or fluorescence in situ hybridization was useful for differentiating EHT from synovial sarcoma. EHT requires accurate diagnosis before surgery to avoid excessive treatment. Both tumor location and the presence of fat inside the tumor are important imaging findings for EHT, and confirmation of spindle cells, epithelial cells, and mature adipose cells in the tumor is an important pathological finding. It is important to exclude synovial sarcoma from the differential diagnosis via fusion gene analysis.
format Article
id doaj-art-c9694e2d280d4a31a87ff3eac2bdf112
institution Kabale University
issn 2090-6765
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language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Otolaryngology
spelling doaj-art-c9694e2d280d4a31a87ff3eac2bdf1122025-02-03T01:30:06ZengWileyCase Reports in Otolaryngology2090-67652090-67732017-01-01201710.1155/2017/16729191672919Two Cases of Ectopic Hamartomatous Thymoma Masquerading as SarcomaTakahito Kondo0Yukiko Sato1Hiroko Tanaka2Toru Sasaki3Kazuyoshi Kawabata4Hiroki Mitani5Hiroyuki Yonekawa6Hirofumi Fukushima7Wataru Shimbashi8Department of Head and Neck Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, JapanDepartment of Pathology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, JapanDepartment of Diagnostic Imaging, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, JapanDepartment of Head and Neck Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, JapanDepartment of Head and Neck Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, JapanDepartment of Head and Neck Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, JapanDepartment of Head and Neck Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, JapanDepartment of Head and Neck Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, JapanDepartment of Head and Neck Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, JapanEctopic hamartomatous thymoma (EHT) is an extremely rare benign tumor. EHTs are difficult to differentiate from sarcomas, especially synovial sarcomas. We encountered two cases of EHT that were referred from other hospitals because sarcoma was suspected. In these cases, fusion gene detection via polymerase chain reaction or fluorescence in situ hybridization was useful for differentiating EHT from synovial sarcoma. EHT requires accurate diagnosis before surgery to avoid excessive treatment. Both tumor location and the presence of fat inside the tumor are important imaging findings for EHT, and confirmation of spindle cells, epithelial cells, and mature adipose cells in the tumor is an important pathological finding. It is important to exclude synovial sarcoma from the differential diagnosis via fusion gene analysis.http://dx.doi.org/10.1155/2017/1672919
spellingShingle Takahito Kondo
Yukiko Sato
Hiroko Tanaka
Toru Sasaki
Kazuyoshi Kawabata
Hiroki Mitani
Hiroyuki Yonekawa
Hirofumi Fukushima
Wataru Shimbashi
Two Cases of Ectopic Hamartomatous Thymoma Masquerading as Sarcoma
Case Reports in Otolaryngology
title Two Cases of Ectopic Hamartomatous Thymoma Masquerading as Sarcoma
title_full Two Cases of Ectopic Hamartomatous Thymoma Masquerading as Sarcoma
title_fullStr Two Cases of Ectopic Hamartomatous Thymoma Masquerading as Sarcoma
title_full_unstemmed Two Cases of Ectopic Hamartomatous Thymoma Masquerading as Sarcoma
title_short Two Cases of Ectopic Hamartomatous Thymoma Masquerading as Sarcoma
title_sort two cases of ectopic hamartomatous thymoma masquerading as sarcoma
url http://dx.doi.org/10.1155/2017/1672919
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