[Filling of the thymic space after chemotherapy for ovarian cancer].

Rev Mal Respir

Service de chirurgie thoracique, CHU Ibn Sina, faculté de médecine et pharmacie, université Mohammed V, Rabat, Maroc.

Published: November 2010

Introduction: Enlargement of the thymus following remission of a cancer treated by chemotherapy poses a problem of differential diagnosis between benign thymic hyperplasia and relapse of a mediastinal tumour.

Case Report: We report the case of a thymic tumour developing 6 months after chemotherapy for ovarian cancer in a woman of 31 years. Because of the risk of a mediastinal recurrence, the patient was submitted to thymectomy by mediastinotomy. Histopathological examination revealed benign thymic hyperplasia in reaction to the chemotherapy. The postoperative course was uneventful.

Conclusion: Benign thymic hyperplasia may develop after chemotherapy. It is an inflammatory reaction that subsides after a few months. A multidisciplinary discussion to consider the possibility of benign hyperplasia may save the patient unnecessary surgery.

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http://dx.doi.org/10.1016/j.rmr.2010.09.009DOI Listing

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