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J Thorac Cardiovasc Surg 2006;132:191-192
© 2006 The American Association for Thoracic Surgery

Brief Communication

Carcinoma showing thymus-like elements invading the trachea

Marco Alifano, MD a , * , Mohamed Sadok Boudaya, MD a , Carmen Dinu, MD b , Habiba Kadiri, MD b , Jean-François Regnard, MD a

a Unité de Chirurgie Thoracique, Hôpital Hôtel-Dieu, AP-HP, Université Paris V, Paris, France
b Service d'Anatomie et de Cytologie Pathologiques, Hôpital Hôtel-Dieu, AP-HP, Université Paris V, Paris, France

Received for publication February 6, 2006; accepted for publication March 15, 2006.

* Address for reprints: Marco Alifano, MD, Unité de Chirurgie Thoracique, Hôtel-Dieu 1, place du Parvis Notre Dame, 75181 PARIS Cedex 04, France. (Email: marcoalifano@yahoo.com).

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

Carcinoma showing thymus-like elements (CASTLE) is a rare cervical tumor. Approximately 30 cases have been reported in the English language literature. 1 Go In 1985, Miyauchi and colleagues 2 Go reported the first series dealing with this type of tumor. Although generally thought to have a less-marked malignant behavior compared with thyroid carcinomas, CASTLE may progress and result in death.

Clinical Summary

A 63-year-old woman had anterior cervical swelling 6 months before admission to our unit. Assessment in another institution by ultrasonography and computed tomography (CT) scan showed a tumor close to the lower pole of the left thyroid lobe, causing right and backward tracheal dislocation. There were no enlarged lymph nodes. The lesion was misdiagnosed as a thyroid goiter, and cervicotomy was planned. At surgery a tumor was found infiltrating the strap muscles and trachea, but independent of the thyroid and thymus. No resection was attempted. Because of the absence of a preoperative diagnosis and inconclusive data . . . [Full Text of this Article]






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