Cystic thymoma

Topic Completed: 1 December 2012

Revised: 20 November 2019

Copyright: 2003-2019,, Inc.

PubMed Search: Thymomas cystic mediastinum

Hanni Gulwani, M.B.B.S.
Page views in 2019: 974
Page views in 2020 to date: 69
Cite this page: Gulwani H. Cystic thymoma. website. Accessed January 26th, 2020.
Definition / general
  • Cystic degeneration of thymoma in anterosuperior mediastinum
Clinical features
  • Associated with paraneoplastic syndromes
Gross description
  • Encapsulated, uniloculated or multiloculated
  • Variable cystic contents
Microscopic (histologic) description
  • Bland proliferation of thymic epithelium (spindle or polygonal cells) present in cyst wall
  • Usually no cholesterol granulomas, no cartilage, no smooth muscle
Microscopic (histologic) images

Images hosted on other servers:

Spindle cell thymoma (type A) has cysts of various sizes

Differential diagnosis
  • Thymic cyst: no / minimal thymic epithelial cells in cyst wall; no evidence of thymoma
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