Micronodular thymoma with lymphoid stroma: As benign as it sounds

Micronodular thymoma (MNT) is a rare subtype of thymoma (reported incidence is approximately 1–5%). We report a case received as a core biopsy from the “right lung mass” of a 31-year-old female. CT scan showed an 8.1 cm large well-defined mass lesion in the right middle lobe, causing indentation and...

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Main Authors: Kanica Chaudhary, Roshani Gala, Jay Mehta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:https://journals.lww.com/10.4103/ijpm.ijpm_585_23
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author Kanica Chaudhary
Roshani Gala
Jay Mehta
author_facet Kanica Chaudhary
Roshani Gala
Jay Mehta
author_sort Kanica Chaudhary
collection DOAJ
description Micronodular thymoma (MNT) is a rare subtype of thymoma (reported incidence is approximately 1–5%). We report a case received as a core biopsy from the “right lung mass” of a 31-year-old female. CT scan showed an 8.1 cm large well-defined mass lesion in the right middle lobe, causing indentation and mild compression of the right atrium. Microscopically, the biopsy showed a thymic neoplasm comprised of multiple discrete and coalescing nodules of bland epithelioid tumor cells separated by an epithelial cell-free lymphocyte-rich stroma. On immunohistochemistry, cytokeratin highlighted the thymic epithelial cells. The lymphoid cells showed a naive T-cell phenotype (TdT+ CD 3+). It is worthwhile recognizing this rare variant of thymoma as almost all the patients present with localized low stage disease with rare/no reports of recurrences or distant metastases.
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series Indian Journal of Pathology and Microbiology
spelling doaj-art-d1c4ee4812bb40a7a8ff7de26de66e652025-08-20T03:06:17ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49290974-51302025-01-01681216810.4103/ijpm.ijpm_585_23Micronodular thymoma with lymphoid stroma: As benign as it soundsKanica ChaudharyRoshani GalaJay MehtaMicronodular thymoma (MNT) is a rare subtype of thymoma (reported incidence is approximately 1–5%). We report a case received as a core biopsy from the “right lung mass” of a 31-year-old female. CT scan showed an 8.1 cm large well-defined mass lesion in the right middle lobe, causing indentation and mild compression of the right atrium. Microscopically, the biopsy showed a thymic neoplasm comprised of multiple discrete and coalescing nodules of bland epithelioid tumor cells separated by an epithelial cell-free lymphocyte-rich stroma. On immunohistochemistry, cytokeratin highlighted the thymic epithelial cells. The lymphoid cells showed a naive T-cell phenotype (TdT+ CD 3+). It is worthwhile recognizing this rare variant of thymoma as almost all the patients present with localized low stage disease with rare/no reports of recurrences or distant metastases.https://journals.lww.com/10.4103/ijpm.ijpm_585_23lung massmicronodularthymoma
spellingShingle Kanica Chaudhary
Roshani Gala
Jay Mehta
Micronodular thymoma with lymphoid stroma: As benign as it sounds
Indian Journal of Pathology and Microbiology
lung mass
micronodular
thymoma
title Micronodular thymoma with lymphoid stroma: As benign as it sounds
title_full Micronodular thymoma with lymphoid stroma: As benign as it sounds
title_fullStr Micronodular thymoma with lymphoid stroma: As benign as it sounds
title_full_unstemmed Micronodular thymoma with lymphoid stroma: As benign as it sounds
title_short Micronodular thymoma with lymphoid stroma: As benign as it sounds
title_sort micronodular thymoma with lymphoid stroma as benign as it sounds
topic lung mass
micronodular
thymoma
url https://journals.lww.com/10.4103/ijpm.ijpm_585_23
work_keys_str_mv AT kanicachaudhary micronodularthymomawithlymphoidstromaasbenignasitsounds
AT roshanigala micronodularthymomawithlymphoidstromaasbenignasitsounds
AT jaymehta micronodularthymomawithlymphoidstromaasbenignasitsounds