Timoma micronodular con estroma linfoide

Armando Leal Acosta; Armando Leal Mursulí; Yuleidy Feliq Díaz; Yadira Anaya Mauri; Raibel Kessell Maura

Authors

Armando Leal Acosta Hospital Universitario Dr. Miguel Enríquez. La Habana, Cuba. https://orcid.org/0000-0002-7740-9483
Armando Leal Mursulí Hospital Universitario Dr. Miguel Enríquez. La Habana, Cuba. https://orcid.org/0000-0002-0632-9574
Yuleidy Feliq Díaz Hospital Universitario Dr. Miguel Enríquez. La Habana, Cuba. https://orcid.org/0000-0003-4792-0341
Yadira Anaya Mauri Hospital Universitario Dr. Miguel Enríquez. La Habana, Cuba. https://orcid.org/0009-0009-4449-7040
Raibel Kessell Maura Hospital Clínico Quirúrgico Hermanos Ameijeiras. La Habana, Cuba. https://orcid.org/0000-0002-4488-9249

Keywords:

mediastinal neoplasms; thymectomy; thymoma; epithelial tumor

Abstract

Introduction: Thymomas are epithelial tumors originating in the thymus gland, with an incidence of 0.13 cases per 100,000 inhabitants per year, and most commonly occurring between the ages of 40 and 60.

Objective: To present the main aspects of the treatment of a patient with micronodular thymoma at Dr. Miguel Enríquez University Hospital.

Case Presentation: A 46-year-old female patient with no significant past medical history reported weight loss, fatigue, and shortness of breath that had persisted for two weeks. She was initially diagnosed with Oropouche fever, but her clinical symptoms worsened without improvement, and she developed a cough with whitish sputum and retrosternal tightness; one month later, she underwent a chest X-ray and surgical evaluation. In the general surgery department, laboratory and imaging tests were ordered; a mediastinal tumor was suspected, and she underwent conventional thymectomy. The biopsy report confirmed the diagnosis of a thymoma.

Conclusions: The definitive diagnosis is generally established through postoperative histopathological examination; computed tomography (CT), with or without percutaneous biopsy, is the gold standard for preoperative diagnosis.

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Author Biographies

Armando Leal Mursulí, Hospital Universitario Dr. Miguel Enríquez. La Habana, Cuba.

Doctor en Ciencias Médicas. Máster en Urgencias Médicas. Profesor e Investigador Titular.Especialista de II Grado en Cirugía General y Oncológica.

Yuleidy Feliq Díaz , Hospital Universitario Dr. Miguel Enríquez. La Habana, Cuba.

Profesor Auxiliar. Especialista de I Grado en Cirugía General.

Yadira Anaya Mauri, Hospital Universitario Dr. Miguel Enríquez. La Habana, Cuba.

Asistente. Especialista de I Grado en Cirugía General.

Raibel Kessell Maura, Hospital Clínico Quirúrgico Hermanos Ameijeiras. La Habana, Cuba.

Residente de 1er. año de Cirugía General.

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