National Cancer Institute®
Last Modified: July 1, 2002
1
UI - 11952859
AU - Pomplun S; Wotherspoon AC; Shah G; Goldstraw P; Ladas G; Nicholson AG
TI -
Immunohistochemical markers in the differentiation of thymic and
pulmonary neoplasms.
SO - Histopathology 2002 Feb;40(2):152-8
AD - Department of Histopathology, Royal Brompton Hospital, London, UK.
AIMS: The histopathological features of some thymic neoplasms overlap
with those of pulmonary squamous and large-cell undifferentiated
carcinomas, and identification of the primary site may be difficult on
routine staining. We have assessed a panel of antibodies that may help
to distinguish between neoplasms from these two sites. METHODS AND
RESULTS: Antibodies identifying cytokeratin 7 (CK7), CD5, CD10, CD1a and
thyroid transcription factor-1 (TTF-1) were applied to a series of 20
thymic neoplasms (thymic carcinomas, atypical thymomas and thymomas), 10
primary squamous cell carcinomas of the lung and 10 large-cell
undifferentiated carcinomas of the lung. Staining for TTF-1 was positive
in 3/10 large-cell undifferentiated carcinomas, but negative in all
other tumours. CD5 showed strong membranous staining in 3/6 thymic
carcinomas and 1/14 thymomas, but only focal staining in 1/20 pulmonary
carcinomas. CD1a was consistently positive in thymic lymphocytes in both
typical and atypical thymomas, but only focally in 1/6 thymic
carcinomas. CD1a stained dendritic cells in 7/20 pulmonary carcinomas,
but did not stain lymphocytes. Staining for CK7 and CD10 did not aid in
differentiating between a pulmonary or thymic origin of the tumour.
CONCLUSION: Staining for TTF-1, CD5 and CD1a have potential use in
distinguishing between pulmonary and thymic neoplasms.
2
UI - 11692817
AU - Clavijo-Montecinos I; Criales JL
TI -
[Non-invasive thymoma]
SO - Gac Med Mex 2001 Sep-Oct;137(5):485-6
3
UI - 12080617
AU - Kitae S; Kawakami H; Matsuoka N; Etoh R; Nakamura S
TI -
[A case of myasthenia gravis accompanied by large thymoma and anti-GAD
antibody]
SO - Rinsho Shinkeigaku 2001 Nov;41(11):818-21
AD - Department of Neurology, Kurashiki Central Hospital.
A 61-year-old woman had repeated episodes of muscle weakness of face,
neck and limbs for 18 years. She was diagnosed as having myasthenia
gravis (MG) by the positive anti-acetylcholine receptor antibody and
findings of electromyogram. Simultaneously, she was noticed to have
diabetes mellitus with high titers of anti-glutamic acid decarboxylase
(GAD) antibody. Magnetic resonance imaging showed a large thymoma. In
spite of the improvement of MG after thymectomy, the insulin secretion
slowly exacerbated during next two years. The clinical course of her
disease was characteristic as slowly progressive insulin dependent
diabetes mellitus (SPIDDM). She continued to have positive autoantibody
against beta-cell of pancreas. Recently, anti-GAD antibody is detected
in patients with SPIDDM and stiffman syndrome (SS) in high rate, and it
is closely associated with the cause of these syndromes. The patient did
not reveal the symptoms of SS. From the clinical course, MG and SPIDDM
in this patient may be caused by a common underlying autoimmune
abnormality resulting from the long presence of the thymoma. MG and
SPIDDM may be derived from organ-specific autoimmunopathy from the
defect of self-tolerance.
4
UI - 12073605
AU - Ohde Y; Yokose T; Yoshida J; Matsumoto T; Nagai K
TI -
Encapsulated thymoma metastasizing to a pectoralis major muscle.
SO - Jpn J Thorac Cardiovasc Surg 2002 Jun;50(6):260-2
AD - Division of Thoracic Oncology, National Cancer Center Research
Institute, East, 6-5-1 Kashiwanoha, Kashiwa, Chiba 277-8577, Japan.
An extensive review of the literature suggests that ours is the first
case of encapsulated thymoma metastasizing to a skeletal muscle. A
43-year-old man underwent thymothymectomy for encapsulated Masaoka's
stage I thymoma. Four years after complete resection, the tumor
metastasized to the left pectoralis major muscle. Although a few reports
exist on encapsulated thymoma metastasizing to a distant site, the
literature does not describe encapsulated thymoma metastasizing to a
skeletal muscle insofar as we could find.
5
UI - 12075408
AU - Kuo TT
TI -
Images in pathology. Infarcted thymoma.
SO - Int J Surg Pathol 2002 Apr;10(2):147
AD - Department of Pathology Chang Gung Memorial Hospital, Taipei, Taiwan.
6
UI - 12105313
AU - Somnier FE; Engel PJ
TI -
The occurrence of anti-titin antibodies and thymomas: a population
survey of MG 1970-1999.
SO - Neurology 2002 Jul 9;59(1):92-8
AD - Laboratory of Neuroimmunology, Department of Neurology, The National
Hospital (Rigshospitalet), Copenhagen, Denmark. Somnier@dadlnet.dk
OBJECTIVE: To estimate the incidence of elevated anti-titin antibodies
titers and of thymomas in a population of patients with MG using various
statistics and associations. METHODS: Extensive epidemiology, systematic
measurement of anti-titin antibodies, and histologic assessment of
thymomas according to the new World Health Organization classification.
RESULTS: The mean annual incidence rate of MG per million population was
8.3. The analogous mean rate of thymomas was 2.0, out of which MG was
encountered in about 20%. A thymoma was coexistent in 7% of the patients
with MG. The finding of titin autoantibodies and the coexistence of
thymomas were both associated with age at the appearance of MG. In
patients with MG with a thymoma, the frequency of seropositivity was
68%, whereas acetylcholine receptor (AChR) autoantibodies were detected
in all such sera. Titin autoantibody-positive sera were also anti-AChR
antibodies positive. Further, all serum samples negative for anti-AChR
antibodies were devoid of anti-titin antibodies. Titin autoantibodies
were not detected in nonthymoma early-onset MG. CONCLUSION: Apart from
MG with a thymoma, the finding of the titin autoantibodies was observed
to be an exclusive feature of late-onset MG, the frequency being 55%. No
data were found to suggest that patients with MG were more likely to
present with thymic tumors than other patients exhibiting thymic
neoplasia. In about 80%, such tumors in MG were composed of cortical
cells. The concept of the anti-titin antibodies merely as a
paraneoplastic marker in MG was not supported by these data.
7
UI - 11944269
AU - Peliukhovskii SV; Gonshcherovskii LIu; Kaspshik M
TI -
[Clinico-morphological characteristic of the thymus gland changes in
myasthenia and their surgical treatment]
SO - Klin Khir 2001 Dec;(12):29-30
Histological investigation of thymic gland was performed in 155 patients
with various forms of myasthenia. Two variants of histological changes
in thymic gland were revealed. In presence of the first variant
performance of thymectomy was effective in 81.3% and in presence of the
second--in 51%.
8
UI - 12073619
AU - Kisohara A; Takahashi N; Koya Y; Horie T
TI -
[Thymoma complicated with miliary tuberculosis]
SO - Kekkaku 2002 May;77(5):415-9
AD - First Department of Internal Medicine, Nihon University School of
Medicine, 30-1, Oyaguchi-Kamimachi, Itabashi-ku, Tokyo 173-0032, Japan.
kisohara@med.nihon-u.ac.jp
We report a case of thymoma complicated with miliary tuberculosis. A
69-year-old woman was admitted to a hospital because of body weight
loss, general fatigue, and dyspnea. Chest X-ray showed a small, diffuse
granular shadows in both lungs. Biopsied-specimens from bone marrow and
left pharynx revealed granuloma with both giant cells and caseous
necrosis. The diagnosis of miliary tuberculosis was made. The patient
was then transferred to our hospital. Both chest X-ray and computed
tomography conducted on admission revealed a mass in the mediastinum as
well as diffuse granular shadows in both lungs. We suspected a presence
of thymoma. Anti-tuberculosis therapy was started, and extended
thymectomy was performed. The diagnosis of thymoma was confirmed
pathologically. Immunological analysis of peripheral blood lymphocytes
was done before and after the operation. Negative conversion of PPD
reaction was observed after thymectomy. Although the response of
peripheral lymphocytes to phytohaemoagglutinin (PHA) and concanavalin A
recovered after thymectomy, a marked decrease of the number of CD 4 T
cells, a decrease of T helper 1 cells, a slight increase in the number
of B cells and cells expressing natural killer cell-related surface
markers were observed throughout the course of illness.
9
UI - 12089971
AU - Andriescu L; Buiuc AI; Dolinescu C; Dragomir C; Albulescu E
TI -
[Multimodality treatment outcome of invasive thymomas]
SO - Rev Med Chir Soc Med Nat Iasi 2000 Apr-Jun;104(2):103-8
AD - Facultatea de Medicina, Clinica a III-a Chirurgie, Universitatea de
Medicina si Farmacie Gr.T. Popa, Iasi.
The aim of the study was to analyze the progression of invasive thymomas
associated with myasthenia gravis, after the resection and the
progression of unresectable invasive thymomas with a combined
chemoradiotherapy. The study was performed on two groups of patients: 8
patients with invasive thymomas and myasthenia gravis operated at the
3rd Surgical Clinic between 1986-1999; 4 patients with unresectable
invasive thymomas treated at the Radiology-Oncology Clinic by combined
chemoradiotherapy, between 1993-1998. The results are presented for each
group of patients, separately. CONCLUSION: The best treatment of
invasive thymomas is the multimodal one. The timing of each method was
established based on the collaboration between surgeons, medical
oncologists, radiotherapists and neurologists, depending on the
characteristics of each patient.
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