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J Thorac Cardiovasc Surg 2006;131:1412-1413
© 2006 The American Association for Thoracic Surgery

Brief Communication

Giant thymolipoma in association with a high production of carbohydrate antigen 19-9 and an increased acetylcholine antibody titer

Valerio Perna, MD * , Ricardo Morera, MD, Ricard Ramos, MD, Ivan Macia, MD, Juan Moya, MD

Thoracic Surgery Department, Hospital Universitario de Bellvitge, Barcelona, Spain.

Received for publication December 27, 2005; accepted for publication January 24, 2006.

* Address for reprints: Valerio Perna, Ronda-del General Mitre 65 4-1, Barcelona 08017, Spain. (Email: 37987vp@comb.es).

The first 20% of the full text of this article appears below.

During preoperative examination for chronic sinusitis, a 26-year-old man displayed an abnormal mass shadow on chest radiography. The patient was referred to us for further evaluation.

Chest radiography revealed a large mass in the mid-lower mediastinum that silhouetted bilateral heart borders and conformed to the shape of the heart, simulating cardiomegaly (Figure 1).


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  		Figure 1. Chest radiography showing a large mediastinal mass extending into both the right and left hemithoraces.

 
Physical examination revealed no abnormalities. Laboratory data were within the normal range, except for an incidental finding of increased serum carbohydrate antigen 19-9 (CA 19-9) level at 150.67 U/mL (normal, <40 U/mL) and an increased acetylcholine antibody titer. Computed tomography (CT) of the chest revealed a large . . . [Full Text of this Article]






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