• J Thorac Imaging · Aug 2006

    Case Reports

    An unusual case of thymic carcinoma with endobronchial metastases manifesting as centrilobular opacities.

    • Hung-Wen Kao, Cheng-Ping Yu, Ching Tzao, Wen-Chiung Lin, Hsian-He Hsu, and Cheng-Yu Chen.
    • Departments of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
    • J Thorac Imaging. 2006 Aug 1;21(3):238-40.

    AbstractWe report a case of a 75-year-old man having unusual manifestation of thymic carcinoma associated with endobronchial metastases. To our knowledge, endobronchial metastases secondary to thymic carcinoma has not been reported in the literature. On high-resolution computed tomograms, the tree-in-bud centrilobular opacities caused by metastatic cells accumulating within the small bronchioles is indistinguishable from that caused by inflammatory process. Thus, in patients with thymic carcinoma and persistent tree-in-bud centrilobular opacities, endobronchial metastatic disease should be considered.

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