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Multiple atypical thymic carcinoids with paraneoplastic giant cell arteritis.

Abstract

Multiple thymic carcinoids are rare, and giant cell arteritis (GCA) is one of the less recognized paraneoplastic diseases. The co-occurrence of these two diseases is therefore extremely rare. We report herein a patient with multiple atypical thymic carcinoids and asymptomatic paraneoplastic GCA. All the thymic carcinoids were diagnosed histopathologically as atypical thymic carcinoids with an intrathymic metastasis. Treatment consisted of a complete tumor resection followed by observation of the GCA without any adjuvant therapy. Subsequent positron emission tomography revealed a decrease in F-fludeoxyglucose accumulation in the systemic arteries. Based on these findings, paraneoplastic GCA was diagnosed. Thymic carcinoids rarely involve intrathymic metastasis or cause neopleonastic GCA. However, when they do, a complete tumor resection is the best option for management.

Authors+Show Affiliations

Department of General Thoracic Surgery, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8524, Japan. nakayama-takashi-0901@hotmail.co.jp.Department of General Thoracic Surgery, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8524, Japan.Department of General Thoracic Surgery, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8524, Japan.Department of General Thoracic Surgery, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8524, Japan.Department of Intermedicine of Rheumatism, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.Department of Pathology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31625085

Citation

Nakayama, Takashi, et al. "Multiple Atypical Thymic Carcinoids With Paraneoplastic Giant Cell Arteritis." General Thoracic and Cardiovascular Surgery, 2019.
Nakayama T, Katagiri S, Kikkawa T, et al. Multiple atypical thymic carcinoids with paraneoplastic giant cell arteritis. Gen Thorac Cardiovasc Surg. 2019.
Nakayama, T., Katagiri, S., Kikkawa, T., Obara, T., Mori, T., & Kiriu, T. (2019). Multiple atypical thymic carcinoids with paraneoplastic giant cell arteritis. General Thoracic and Cardiovascular Surgery, doi:10.1007/s11748-019-01230-3.
Nakayama T, et al. Multiple Atypical Thymic Carcinoids With Paraneoplastic Giant Cell Arteritis. Gen Thorac Cardiovasc Surg. 2019 Oct 17; PubMed PMID: 31625085.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multiple atypical thymic carcinoids with paraneoplastic giant cell arteritis. AU - Nakayama,Takashi, AU - Katagiri,Sayaka, AU - Kikkawa,Takuma, AU - Obara,Tetsuya, AU - Mori,Tatsuo, AU - Kiriu,Takahiro, Y1 - 2019/10/17/ PY - 2019/07/04/received PY - 2019/10/10/accepted PY - 2019/10/19/entrez KW - Giant cell arteritis KW - Intrathymic metastasis KW - Paraneoplastic KW - Thymic carcinoid JF - General thoracic and cardiovascular surgery JO - Gen Thorac Cardiovasc Surg N2 - Multiple thymic carcinoids are rare, and giant cell arteritis (GCA) is one of the less recognized paraneoplastic diseases. The co-occurrence of these two diseases is therefore extremely rare. We report herein a patient with multiple atypical thymic carcinoids and asymptomatic paraneoplastic GCA. All the thymic carcinoids were diagnosed histopathologically as atypical thymic carcinoids with an intrathymic metastasis. Treatment consisted of a complete tumor resection followed by observation of the GCA without any adjuvant therapy. Subsequent positron emission tomography revealed a decrease in F-fludeoxyglucose accumulation in the systemic arteries. Based on these findings, paraneoplastic GCA was diagnosed. Thymic carcinoids rarely involve intrathymic metastasis or cause neopleonastic GCA. However, when they do, a complete tumor resection is the best option for management. SN - 1863-6713 UR - https://www.unboundmedicine.com/medline/citation/31625085/Multiple_atypical_thymic_carcinoids_with_paraneoplastic_giant_cell_arteritis L2 - https://dx.doi.org/10.1007/s11748-019-01230-3 DB - PRIME DP - Unbound Medicine ER -