RECURRENT PARALYSIS AS A PRESENTATION OF THYMIC CARCINOMA

AUTHORS:
D. Morales (MALAGA, Spain) , S. Rocio (MALAGA, Spain) , N. Rodriguez (MALAGA, Spain) , J.L. Fernandez (MALAGA, Spain) , M.D. Dominguez (MALAGA, Spain) , J. Garcia (MALAGA, Spain) , L.T. Ocaña (MALAGA, Spain)
Background:
Thymic carcinoma represents 1% of malignant thymic neoplasms and occurs at any age, although more frequently between 30 and 60 years of age. We present the case of a patient with thymic carcinoma that debuts as recurrent paralysis and is diagnosed after a hemithyroidectomy.
Methods:
45-year-old male with left recurrent paralysis of six months' duration. Ultrasound shows an enlarged left thyroid lobe (iconography). Difficult left hemithyroidectomy was performed without complications with pathological anatomy of non-keratinizing squamous cell carcinoma p40, CKIT and CD5+. CK7, TTF, Calcitonin, PAV8 and CD 45 negative
Results:
After performing a new ultrasound and CT scan (iconography), the patient underwent another operation through ministernotomy, removing the thymic gland and adjacent lymphadenopathy (iconography). The result of the pathological anatomy is Thymic Carcinoma T1N1M0. Masaoka Koga IVB. R0 surgery. The patient has received postoperative CT and RT and is currently asymptomatic.
Conclusions:
Thymic carcinoma is a very rare tumor, and can appear at any age. The treatment is surgical, and can be complemented with CT or RT, with survival being less than 35% at 5 years.