Swimming Heart: A Pleural, Pulmonary and Pericardial Disseminated Thymoma


Thymoma is the most common neoplasm of the anterior mediastinum and accounts for one quarter of all mediastinal tumours and half of all anterior mediastinal masses. Pericardial effusion may be present in approximately 20% of cases. This report presents a patient with a previously diagnosed thymoma without surgical indication and with poor response to chemotherapy and radiotherapy who had a pericardial effusion that likely resulted from the malignancy dissemination to pericardium.

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Fernandes, L. , Rodrigues, A. , Clérigo, V. , Rocha, C. , Sargento, D. and Silva, G. (2014) Swimming Heart: A Pleural, Pulmonary and Pericardial Disseminated Thymoma. Open Journal of Clinical Diagnostics, 4, 212-216. doi: 10.4236/ojcd.2014.44030.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Almeida, A.B., Hasmucrai, D., Goncalves, J.R. and Sotto-Mayor, R. (2010) Pneumologia Clínica, 4, 336-366.
[2] Falkson, C.B., Bezjak, A., Darling, G., et al. (2009) The Management of Thymoma: A Systematic Review and Practice Guideline. Journal of Thoracic Oncology, 4, 911-919.
[3] Suster, S. (2006) Diagnosis of Thymoma. Journal of Clinical Pathology, 59, 1238-1244.
[4] Fazliogullari, O., Atalan, N., Gürer, O., Akgün, S. and Arsan, S. (2012) Cardiac Tamponade from a Giant Thymoma: Case Report. Journal of Cardiothoracic Surgery, 7, 1-4.
[5] Cheng, M.F., Tsai, C.S., Chiang, P.C. and Lee, H.S. (2005) Cardiac Tamponade as Manifestation of Advanced Thymic Carcinoma. Heart Lung, 34, 136-141.
[6] Takanami, I., Takeuchi, K. and Naruke, M. (1999) Noninvasive Large Thymoma with a Natural History of Twenty-One Years. The Journal of Thoracic and Cardiovascular Surgery, 118, 1134-1135.
[7] Soilleux, E.J. (2010) Surgical Pathology of the Thymus and Mediastinum. Diagnostic Histopathology, 16, 143-160.
[8] Wright, C.D. and Kessler, K.A. (2005) Surgical Treatment of Thymic Tumors. Seminars in Thoracic and Cardiovascular Surgery, 17, 20-26.
[9] Turkmen, N., Eren, B., Comunoglu, N., Fedakar, R. and Senel, B. (2008) Letter to the Editor-Pericardial Thymoma: An Unusual Cause of Sudden Death. Annals Academy of Medicine, 37, 253-254.
[10] Detterbeck, F.C. (2010) Malignancies of the Thymus-Evaluation and Treatment of Stage I and II Thymoma. Journal of Thoracic Oncology, 5, 318-322.

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