• Journal of Chest Surgery
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• 제51권2호
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• pp.156-158
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• 2018

Cervicothoracic thymic cysts are rare and difficult to diagnose preoperatively. We report a case of a cervicothoracic thymic cyst presenting as a lateral neck mass and mimicking a laryngocele in a 3-year-old boy and its definitive management.

• Asian Pacific Journal of Cancer Prevention
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• 제13권6호
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• pp.2745-2748
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• 2012

Aims: To study KIT (CD117) expression in thymic epithelial tumors in China, and investigate diagnostic and clinical significance. Material and Methods: Thymic epithelial tumors (TETs) from 102 patients (3 type A, 29 type AB, 5 type B1, 22 type B2, 29 typeB3 and 16 thymic carcinomas) were examined. Immunohistochemical staining with an antic-kit monoclonal antibody was performed on a tissue microarray. Relationships between KIT positive expression and the TET clinical characteristics (WHO histologic classification and Masaoka stage system) were analysed. Results: The KIT positive expression rate was significantly higher in thymic carcinoma (60%, 9/16) than in thymoma (8%, 7/86), a strong correlation being found with the WHO classification, but not the Masaoka tumor stage. The overall survival for patients with KIT positive lesions was significantly worse. Conclusions: KIT is a good molecule marker to differentially diagnose thymic carcinoma from thymoma, while also serving as a predictor of prognosis for TETs. Further research into KIT mutations in Chinese TETs should be conducted to assess the efficacy of targeted therapy.

• 대한두경부종양학회지
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• 제20권1호
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• pp.55-57
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• 2004

Cervical thymic cysts are not very common. Two-thirds of the lesions are detected in the 1st decade of life, when the thymus is biggest in size and most active. The remaining one-third in the 2nd and 3rd decades. Due to its rarity, cervical thymic cyst is seldom included in the differential diagnosis of a neck mass. Approximately 90 cases have been reported thus far, and most of these cases have occurred asymptomatically in children and adults. We report a case of a 44-year old man with a cervical thymic cyst mimicking branchial cleft cyst.

• Journal of Chest Surgery
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• 제25권11호
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• pp.1236-1239
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• 1992

Carcinoid tumors arising in the thymus are rare. Since Rosai and Higa in 1972 distinguished these neoplasms from thymomas, fewer than 100 cases have been reported in the world literature. The pathologic diagnosis of thymic carcinoids is been on findings from light microscopy, histochemical studies, and electron microscopy. About 50% of thymic carcinoids are seen with endocrinopathies. Recurrence and extrathoracic metastasis are characteristic of thymic carcinoids. Surgical extirpation of the tumor initially and of the subseguent recurrences in the most effective treatment today The role of adjuvant radiotherapy and chemotherapy is still uncertain. Herein we report a case of thymic carcinoid tumor in a 36-year old male with brief review of literatures.

• 대한세포병리학회지
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• 제2권1호
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• pp.36-42
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• 1991

We report 4 cases of malignant thymoma which were composed of 2 cases of invasive thymoma and 2 cases of thymic carcinoma. The cytologic findings of invasive thymoma were similar to those of benign thymoma. The distinctive cytologic features of thymic carcinoma were necrotic background, irregular clusters and individually scattered arrangement of anaplastic epithelial cells, and some scattered mature small lymphocytes. These findings may be found in the Hodgkin's lymphoma, seminoma, and metastatic squamous ceil carcinoma, undifferentiated carcinoma, and large ceil carcinoma of the lung. But, the feature of irregular clustering of anaplastic epithelial cell haying scanty cytoplasm was different from Hodgkin's lymphoma and seminoma. Clinical and radiologic findings as well as cytologic finding were helpful in differential diagnosis of thymic carcinoma from metastatic carcinoma.

• 대한기관식도과학회지
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• 제10권2호
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• pp.68-71
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• 2004

Thymic cysts are uncommon tumors which usually occur in the neck and mediastinum. It is known to arise from embryonic remnants of the thymopharyngeal duct or from inflammation of thymic tissues. Patients with thymic cyst are often asymptomatic and identified after surgical removal and histologic examination. We experienced a 73 year-old man with recently developed dyspnea. During the examination, chest CT showed a $5\times6cm$ sized cystic mass causing deviation of the trachea. It was located in between the right thyroid gland and anterior mediastinum. It also caused tracheal narrowing noted by bronchoscopy. Right anterior cervical incision and removal of the mass was performed and a histological diagnosis of thymic cyst was confirmed. The patient was discharged without complication.

• 한국임상약학회지
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• 제2권1호
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• pp.11-22
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• 1992

Thymic extract showed antitumor effect to sarcoma mice with higher dose$(200{\mu}g/mouse/day$ i.p., 4weeks) but not with low dose$(5{\mu}g/mouse/day$ i.p., 6 weeks). Direct cytotoxicities were exhibited against sarcoma 180, L1210 and MOLT-4 by MTT assay. The spleen weight of mice were increased but the number of circulating lymphocytes were not increased after long-term(2 weeks) administration of thymic extract. Evaluating the mitogenesis by MTT assay. $\%$ absorbance of human lymphocytes was not increased by thymic extract. Cell cycle statistics of S phase and $G_2/M$ phase was not increased in the presence of that by PI staining. The formation of rosette was induced, irrespectively of exposure time short-term(l hour) and long-term(2 weeks). The population of mouse blood T-cell to bind Lyt2-antimonoclonal antibody and to $L_2T_4$ were increased after administration of thymic extract$(2-200{\mu}g/mouse/day)$. From the above results, it is suggested that thymic extract exerts antitumor activity by stimulating T cells to differeniate in vivo but not in vitro.

• Journal of Chest Surgery
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• 제31권3호
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• pp.319-323
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• 1998

흉선의 유암종은 매우 드문 종격동 종양으로, 1972년에 Rosai와 Higa에 의해 기술되었다. 흉선의 유암종은 Kultschizky 세포에서 생기는 종양으로 생각되어지며, 흉선종과 다른 종양으로 간주되어 왔다. 흉선의 유암종의 병리학적인 진단으로 병리학적, 면역조직화학적, 전자현미경적 소견을 이용한다. 유암종의 50% 정도에서는 내분비 질환을 가진다. 재발과 흉곽외 전이가 특징적이다. 발견당시나 재발의 경우에 외과적인 절제가 가장 효과적이라고 생각된다. 그러나 방사선 치료나 항암치료의 역할은 분명하지 않다. 저자들은 수술 및 병리학적으로 증명된 57세 남자의 흉선 유암종 1예를 경험하였기에 간단한 문헌 고찰과 함게 보고하는 바이다.

• 대한기관식도과학회지
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• 제11권1호
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• pp.25-27
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• 2005

Thymic cysts are uncommon tumors which usually occur in the neck and mediastinum. It is known to arise from embryonic remnants of the thymopharyngeal duct or from infammation of thymic tissues. Patients with thymic cyst are often asymptomatic and identified after surgical removal and histologic examination. We experienced a 73 year-old man with recently developed dyspnea. During the examination, chest CT showed a $5{\times}6cm$ sized cystic mass causing deviation of the trachea. It was located in between the right thyroid gland and anterior mediastinum. It also caused tracheal narrowing noted by bronchoscopy. Right anterior cervical incision and removal of the mass was performed and a histological diagnosis of thymic cyst was confirmed. The patient was discharged without complication.

• Journal of Chest Surgery
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• 제34권12호
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• pp.964-967
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• 2001

흉선 과증식증은 소아에서 아주 드물게 발생하는 질환으로써 우리나라에서는 아직 보고례가 없다. 환자는 2살된 남아로 잦은 기침과 객담을 주소로 입원 후 시행한 혈액검사상 림프구 수가 55%로 증가돼있는 소견외에는 정상이었으며 흉부 단순촬영 및 흉부 단층 촬영상 우측 전중격등에 5$\times$10cm 크기의 종괴가 발견되었다. 정중 흉골절개를 통한 종괴 적출술을 시행하였다. 적출된 종괴는 180mg이었고 조직검사상 정상 흉선구조를 유지하고 있는 등 흉선 과증식증에 합당한 소견을 보였다. 환자는 술후 별다른 합병증 없이 회복된후 2년이 지난 현재까지 정상생활을 영위하고 있다. 이에 저자들은 소아에서 발생하는 흉선 과증식증으로 문헌고찰과 함께 보고하는 바이다.