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Korean J Med > Volume 87(4); 2014 > Article
The Korean Journal of Medicine 2014;87(4): 466-470.
심장막 주위 지방 괴사로 오인된 흉선암 1예
송준혁, 천상수, 김남균, 김창연, 배명환, 이장훈, 양동헌
경북대학교 의학전문대학원 내과학교실 순환기내과
A Case of Thymic Carcinoma Misdiagnosed as Epipericardial Fat Necrosis
Joon Hyuk Song, Sang Soo Cheon, Nam Kyun Kim, Chang Yeon Kim, Myung Hwan Bae, Jang Hoon Lee, Dong Heon Yang
Division of Cardiology, Department of Internal Medicine, Kyungpook National University College of Medicine, Daegu, Korea
Corresponding Author: Myung Hwan Bae ,Tel: +82-53-200-5525, Fax: +82-53-426-2046, Email: bmh0325@dreamwiz.com
Received: August 11, 2013;   Revised: October 14, 2013;   Accepted: October 23, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial License (http://creativecommons.org/licenses/bync/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Epipericardial fat necrosis (EPFN) is an uncommon benign condition of unknown etiology. It presents as an unexplained acute severe pleuritic chest pain that is associated with the presence of a well-defined juxtacardiac mass usually located in or near the cardiophrenic angle. Although its typical clinical manifestations and chest computed tomography findings might lead to successful diagnosis of this rare disease, an unusual mass location such as the anterosuperior mediastinum should be considered and biopsies should be performed. We herein report a case of thymic carcinoma that was suspected initially to be EPFN.
Keywords: Fat necrosis; Pericardium; Thymus; Carcinoma
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