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http://dx.doi.org/10.3904/kjm.2014.87.4.466

A Case of Thymic Carcinoma Misdiagnosed as Epipericardial Fat Necrosis  

Song, Joon Hyuk (Division of Cardiology, Department of Internal Medicine, Kyungpook National University College of Medicine)
Cheon, Sang Soo (Division of Cardiology, Department of Internal Medicine, Kyungpook National University College of Medicine)
Kim, Nam Kyun (Division of Cardiology, Department of Internal Medicine, Kyungpook National University College of Medicine)
Kim, Chang Yeon (Division of Cardiology, Department of Internal Medicine, Kyungpook National University College of Medicine)
Bae, Myung Hwan (Division of Cardiology, Department of Internal Medicine, Kyungpook National University College of Medicine)
Lee, Jang Hoon (Division of Cardiology, Department of Internal Medicine, Kyungpook National University College of Medicine)
Yang, Dong Heon (Division of Cardiology, Department of Internal Medicine, Kyungpook National University College of Medicine)
Publication Information
The Korean Journal of Medicine / v.87, no.4, 2014 , pp. 466-470 More about this Journal
Abstract
Epipericardial fat necrosis (EPFN) is an uncommon benign condition of unknown etiology. It presents as an unexplained acute severe pleuritic chest pain that is associated with the presence of a well-defined juxtacardiac mass usually located in or near the cardiophrenic angle. Although its typical clinical manifestations and chest computed tomography findings might lead to successful diagnosis of this rare disease, an unusual mass location such as the anterosuperior mediastinum should be considered and biopsies should be performed. We herein report a case of thymic carcinoma that was suspected initially to be EPFN.
Keywords
Fat Necrosis; Pericardium; thymus; Carcinoma;
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1 Jackson RC, Clagett OT, McDonald JR. Pericardial fat necrosis; report of three cases. J Thorac Surg 1957;33:723-729.
2 Runge T, Greganti MA. Epipericardial fat necrosis - a rare cause of pleuritic chest pain: case report and review of the literature. Arch Med Sci 2011;7:337-341.
3 Lee BY, Song KS. Calcified chronic pericardial fat necrosis in localized lipomatosis of pericardium. AJR Am J Roentgenol 2007;188:W21-24.   DOI   ScienceOn
4 Fred HL. Pericardial fat necrosis: a review and update. Tex Heart Inst J 2010;37:82-84.
5 Lacasse MC, Prenovault J, Lavoie A, Chartrand-Lefebvre C. Pericardial fat necrosis presenting as acute pleuritic chest pain. J Emerg Med 2013;44:e269-271.   DOI   ScienceOn
6 Hernandez D, Galimany J, Pernas JC, Llauger J. Case 170: pericardial fat necrosis. Radiology 2011;259:919-922.   DOI   ScienceOn
7 Ataya D, Chowdhry AA, Mohammed TL. Epipericardial fat pad necrosis: computed tomography findings and literature review. J Thorac Imaging 2011;26:W140-142.   DOI   ScienceOn
8 Baig A, Campbell B, Russell M, Singh J, Borra S. Epicardial fat necrosis: an uncommon etiology of chest pain. Cardiol J 2012;19:424-428.   DOI
9 Song HS, Han SB, Kang YW, Jeon YJ, Kim H, Lee SS. Invasive thymoma. Korean J Med 1987;33:548-556.
10 Pineda V, Caceres J, Andreu J, Vilar J, Domingo ML. Epipericardial fat necrosis: radiologic diagnosis and follow-up. AJR Am J Roentgenol 2005;185:1234-1236.   DOI   ScienceOn