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Malignant thymoma
Etiology

Unknown
Pathogenesis

Unknown,
Epidemiology

Usualy tumors of mid to late life.
Males and females equally affected.
Rarely found in younger people.
General Gross Description

Grossly, these tumors can be quite large (up to 20 cM. in diameter) and are significantly firmer than normal thymic tissue.
Areas of calcification and cystic degeneration are often seen.
•Examples:
Thymoma - Malignant
General Microscopic Description

Microscopically, these cells can be of 2 types.
The type 1 cancers are cytologically benign, but do show some evidence of invasion of the capsule.
Type 2 tumors are more overtly malignant and are typically squamous cell carcinomas, usually poorly differentiated and show overt evidence of invasion and distance spread.
•Examples:
Clinical Correlation

Fifty percent of patients with thymomas have myasthenia gravis.
Other auto-immune disorders are often associated with thymomas.
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1167

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Malignant thymoma
Synopsis by: T.V.Rajan, M.D., Ph.D. (T98000M85803)[580]
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