Coincidence of thymoma and breast cancer and in a 56-year-old female patient
Identifieur interne : 001281 ( Main/Exploration ); précédent : 001280; suivant : 001282Coincidence of thymoma and breast cancer and in a 56-year-old female patient
Auteurs : Evangelia Athanasiou [Grèce] ; Electra Michalopoulou-Manoloutsiou [Grèce] ; Mattheos Bobos [Grèce] ; Dimitris I. Hatzibougias [Grèce] ; Paul Zarogoulidis [Grèce] ; Nikolos Katsikogiannis [Grèce] ; Eirini Sarika [Grèce] ; Ilias Karapantzos [Grèce] ; Nikolaos Barbetakis [Grèce] ; Dimitrios Paliouras [Grèce] ; Fotis Chatzinikolaou [Grèce] ; Charalampos Charalampidis [Grèce] ; Ioanna Kougioumtzi [Grèce] ; Alexandros Kolettas ; Andreas Bakas ; Keraso Tzelepi ; Efstratios Kalaitzis ; Kosmas TsakiridisSource :
- Annals of Translational Medicine [ 2305-5839 ] ; 2016.
Abstract
We present a case of a 56-year-old female, with a familial history of breast, lung and brain cancer, which revealed a breast tumor, located in the upper outer quadrant of the left breast. During the routinely staging examinations, a 15 cm intrathoracic tumor was found in the upper left mediastinum, penetrating the pericardium and a smaller tumor, in the left side of parietal pleura. Core biopsies from both lesions, revealed a lobular carcinoma of the breast classic type, grade II (e-cadherin-, ER+, PR+, Her-2−, Ki-67 10%) and a B3 thymoma (CK19+, CD5+) penetrating the pericardium and the left lung. A synchronous removal of both tumors was scheduled, including median sternotomy and left intrapericardial pneumonectomy, followed by a modified radical left mastectomy and a sentinel lymph node biopsy. The postoperative course was uneventful. This case advocates that thymoma patients appear to have a predisposition towards developing additional neoplasms, as breast carcinoma. Clinicians should be aware of the increased incidence of extrathymic cancers, occurring in thymoma patients.
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DOI: 10.21037/atm.2016.11.34
PubMed: 27999780
PubMed Central: 5159347
Affiliations:
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nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Paliouras, Dimitrios" sort="Paliouras, Dimitrios" uniqKey="Paliouras D" first="Dimitrios" last="Paliouras">Dimitrios Paliouras</name><affiliation wicri:level="1"><nlm:aff id="aff5">Thoracic Surgery Department, “Theagenio” Cancer Hospital, Thessaloniki,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Chatzinikolaou, Fotis" sort="Chatzinikolaou, Fotis" uniqKey="Chatzinikolaou F" first="Fotis" last="Chatzinikolaou">Fotis Chatzinikolaou</name><affiliation wicri:level="1"><nlm:aff id="aff6">Pathology Department, “Theagenio” Cancer Hospital, Thessaloniki,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Charalampidis, Charalampos" sort="Charalampidis, Charalampos" uniqKey="Charalampidis C" first="Charalampos" last="Charalampidis">Charalampos Charalampidis</name><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Anatomy, Democritus University of Thrace, Alexandroupolis,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kougioumtzi, Ioanna" sort="Kougioumtzi, Ioanna" uniqKey="Kougioumtzi I" first="Ioanna" last="Kougioumtzi">Ioanna Kougioumtzi</name><affiliation wicri:level="1"><nlm:aff id="aff3">Surgery Department (NHS), University General Hospital of Alexandroupolis, Alexandroupolis,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kolettas, Alexandros" sort="Kolettas, Alexandros" uniqKey="Kolettas A" first="Alexandros" 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sortKey="Athanasiou, Evangelia" sort="Athanasiou, Evangelia" uniqKey="Athanasiou E" first="Evangelia" last="Athanasiou">Evangelia Athanasiou</name><affiliation wicri:level="1"><nlm:aff id="aff1">“Microdiagnostics” Ltd., Thessaloniki,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Michalopoulou Manoloutsiou, Electra" sort="Michalopoulou Manoloutsiou, Electra" uniqKey="Michalopoulou Manoloutsiou E" first="Electra" last="Michalopoulou-Manoloutsiou">Electra Michalopoulou-Manoloutsiou</name><affiliation wicri:level="1"><nlm:aff id="aff1">“Microdiagnostics” Ltd., Thessaloniki,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Bobos, Mattheos" sort="Bobos, Mattheos" uniqKey="Bobos M" first="Mattheos" last="Bobos">Mattheos Bobos</name><affiliation wicri:level="1"><nlm:aff id="aff1">“Microdiagnostics” Ltd., Thessaloniki,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hatzibougias, Dimitris I" sort="Hatzibougias, Dimitris I" uniqKey="Hatzibougias D" first="Dimitris I." last="Hatzibougias">Dimitris I. Hatzibougias</name><affiliation wicri:level="1"><nlm:aff id="aff1">“Microdiagnostics” Ltd., Thessaloniki,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zarogoulidis, Paul" sort="Zarogoulidis, Paul" uniqKey="Zarogoulidis P" first="Paul" last="Zarogoulidis">Paul Zarogoulidis</name><affiliation wicri:level="1"><nlm:aff id="aff2">Pulmonary Department-Oncology Unit, “G. Papanikolaou” General Hospital, Aristotle University of Thessaloniki, Thessaloniki,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Katsikogiannis, Nikolos" sort="Katsikogiannis, Nikolos" uniqKey="Katsikogiannis N" first="Nikolos" last="Katsikogiannis">Nikolos Katsikogiannis</name><affiliation wicri:level="1"><nlm:aff id="aff3">Surgery Department (NHS), University General Hospital of Alexandroupolis, Alexandroupolis,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Sarika, Eirini" sort="Sarika, Eirini" uniqKey="Sarika E" first="Eirini" last="Sarika">Eirini Sarika</name><affiliation wicri:level="1"><nlm:aff id="aff3">Surgery Department (NHS), University General Hospital of Alexandroupolis, Alexandroupolis,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Karapantzos, Ilias" sort="Karapantzos, Ilias" uniqKey="Karapantzos I" first="Ilias" last="Karapantzos">Ilias Karapantzos</name><affiliation wicri:level="1"><nlm:aff id="aff4">Ear, Nose and Throat Department, “St. Luke’s”, Private Hospital, Panorama, Thessaloniki,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Barbetakis, Nikolaos" sort="Barbetakis, Nikolaos" uniqKey="Barbetakis N" first="Nikolaos" last="Barbetakis">Nikolaos Barbetakis</name><affiliation wicri:level="1"><nlm:aff id="aff5">Thoracic Surgery Department, “Theagenio” Cancer Hospital, Thessaloniki,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Paliouras, Dimitrios" sort="Paliouras, Dimitrios" uniqKey="Paliouras D" first="Dimitrios" last="Paliouras">Dimitrios Paliouras</name><affiliation wicri:level="1"><nlm:aff id="aff5">Thoracic Surgery Department, “Theagenio” Cancer Hospital, Thessaloniki,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Chatzinikolaou, Fotis" sort="Chatzinikolaou, Fotis" uniqKey="Chatzinikolaou F" first="Fotis" last="Chatzinikolaou">Fotis Chatzinikolaou</name><affiliation wicri:level="1"><nlm:aff id="aff6">Pathology Department, “Theagenio” Cancer Hospital, Thessaloniki,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Charalampidis, Charalampos" sort="Charalampidis, Charalampos" uniqKey="Charalampidis C" first="Charalampos" last="Charalampidis">Charalampos Charalampidis</name><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Anatomy, Democritus University of Thrace, Alexandroupolis,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kougioumtzi, Ioanna" sort="Kougioumtzi, Ioanna" uniqKey="Kougioumtzi I" first="Ioanna" last="Kougioumtzi">Ioanna Kougioumtzi</name><affiliation wicri:level="1"><nlm:aff id="aff3">Surgery Department (NHS), University General Hospital of Alexandroupolis, Alexandroupolis,<country>Greece</country>;</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kolettas, Alexandros" sort="Kolettas, Alexandros" uniqKey="Kolettas A" first="Alexandros" last="Kolettas">Alexandros Kolettas</name></author><author><name sortKey="Bakas, Andreas" sort="Bakas, Andreas" uniqKey="Bakas A" first="Andreas" last="Bakas">Andreas Bakas</name></author><author><name sortKey="Tzelepi, Keraso" sort="Tzelepi, Keraso" uniqKey="Tzelepi K" first="Keraso" last="Tzelepi">Keraso Tzelepi</name></author><author><name sortKey="Kalaitzis, Efstratios" sort="Kalaitzis, Efstratios" uniqKey="Kalaitzis E" first="Efstratios" last="Kalaitzis">Efstratios Kalaitzis</name></author><author><name sortKey="Tsakiridis, Kosmas" sort="Tsakiridis, Kosmas" uniqKey="Tsakiridis K" first="Kosmas" last="Tsakiridis">Kosmas Tsakiridis</name></author></analytic><series><title level="j">Annals of Translational Medicine</title><idno type="ISSN">2305-5839</idno><idno type="eISSN">2305-5847</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>We present a case of a 56-year-old female, with a familial history of breast, lung and brain cancer, which revealed a breast tumor, located in the upper outer quadrant of the left breast. During the routinely staging examinations, a 15 cm intrathoracic tumor was found in the upper left mediastinum, penetrating the pericardium and a smaller tumor, in the left side of parietal pleura. Core biopsies from both lesions, revealed a lobular carcinoma of the breast classic type, grade II (e-cadherin-, ER+, PR+, Her-2−, Ki-67 10%) and a B3 thymoma (CK19+, CD5+) penetrating the pericardium and the left lung. A synchronous removal of both tumors was scheduled, including median sternotomy and left intrapericardial pneumonectomy, followed by a modified radical left mastectomy and a sentinel lymph node biopsy. The postoperative course was uneventful. This case advocates that thymoma patients appear to have a predisposition towards developing additional neoplasms, as breast carcinoma. Clinicians should be aware of the increased incidence of extrathymic cancers, occurring in thymoma patients.</p></div></front></TEI><affiliations><list><country><li>Grèce</li></country></list><tree><noCountry><name sortKey="Bakas, Andreas" sort="Bakas, Andreas" uniqKey="Bakas A" first="Andreas" last="Bakas">Andreas Bakas</name><name sortKey="Kalaitzis, Efstratios" sort="Kalaitzis, Efstratios" uniqKey="Kalaitzis E" first="Efstratios" last="Kalaitzis">Efstratios Kalaitzis</name><name sortKey="Kolettas, Alexandros" sort="Kolettas, Alexandros" uniqKey="Kolettas A" first="Alexandros" last="Kolettas">Alexandros Kolettas</name><name sortKey="Tsakiridis, Kosmas" sort="Tsakiridis, Kosmas" uniqKey="Tsakiridis K" first="Kosmas" last="Tsakiridis">Kosmas Tsakiridis</name><name sortKey="Tzelepi, Keraso" sort="Tzelepi, Keraso" uniqKey="Tzelepi K" first="Keraso" last="Tzelepi">Keraso Tzelepi</name></noCountry><country name="Grèce"><noRegion><name sortKey="Athanasiou, Evangelia" sort="Athanasiou, Evangelia" uniqKey="Athanasiou E" first="Evangelia" last="Athanasiou">Evangelia Athanasiou</name></noRegion><name sortKey="Barbetakis, Nikolaos" sort="Barbetakis, Nikolaos" uniqKey="Barbetakis N" first="Nikolaos" last="Barbetakis">Nikolaos Barbetakis</name><name sortKey="Bobos, Mattheos" sort="Bobos, Mattheos" uniqKey="Bobos M" first="Mattheos" last="Bobos">Mattheos Bobos</name><name sortKey="Charalampidis, Charalampos" sort="Charalampidis, Charalampos" uniqKey="Charalampidis C" first="Charalampos" last="Charalampidis">Charalampos Charalampidis</name><name sortKey="Chatzinikolaou, Fotis" sort="Chatzinikolaou, Fotis" uniqKey="Chatzinikolaou F" first="Fotis" last="Chatzinikolaou">Fotis Chatzinikolaou</name><name sortKey="Hatzibougias, Dimitris I" sort="Hatzibougias, Dimitris I" uniqKey="Hatzibougias D" first="Dimitris I." last="Hatzibougias">Dimitris I. Hatzibougias</name><name sortKey="Karapantzos, Ilias" sort="Karapantzos, Ilias" uniqKey="Karapantzos I" first="Ilias" last="Karapantzos">Ilias Karapantzos</name><name sortKey="Katsikogiannis, Nikolos" sort="Katsikogiannis, Nikolos" uniqKey="Katsikogiannis N" first="Nikolos" last="Katsikogiannis">Nikolos Katsikogiannis</name><name sortKey="Kougioumtzi, Ioanna" sort="Kougioumtzi, Ioanna" uniqKey="Kougioumtzi I" first="Ioanna" last="Kougioumtzi">Ioanna Kougioumtzi</name><name sortKey="Michalopoulou Manoloutsiou, Electra" sort="Michalopoulou Manoloutsiou, Electra" uniqKey="Michalopoulou Manoloutsiou E" first="Electra" last="Michalopoulou-Manoloutsiou">Electra Michalopoulou-Manoloutsiou</name><name sortKey="Paliouras, Dimitrios" sort="Paliouras, Dimitrios" uniqKey="Paliouras D" first="Dimitrios" last="Paliouras">Dimitrios Paliouras</name><name sortKey="Sarika, Eirini" sort="Sarika, Eirini" uniqKey="Sarika E" first="Eirini" last="Sarika">Eirini Sarika</name><name sortKey="Zarogoulidis, Paul" sort="Zarogoulidis, Paul" uniqKey="Zarogoulidis P" first="Paul" last="Zarogoulidis">Paul Zarogoulidis</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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