Primary Thymic Mucosa-Associated Lymphoid Tissue Lymphoma: Diagnostic Tips

AbstractMucosa-associated lymphoid tissue (MALT) lymphoma arising in the thymus is extremely rare and little is known regarding its clinicopathological features. This study examined the clinicopathological features of nine cases of thymic MALT lymphoma. Most patients had autoimmune disease or hyperglobulinemia, and they also had cysts in the tumors. Both increased serum autoantibody levels and polyclonal serum immunoglobulin levels remained essentially unchanged after total thymectomy in all patients. Thymic MALT lymphoma needs to be included in the differential diagnosis in Asian patients with a cystic thymic mass accompanied by autoimmune disease or hyperglobulinemia

Hemothorax from the stapled line after video-assisted thoracoscopic bullectomy

AbstractA 17-year-old man underwent video-assisted thoracoscopic (VATS) bullectomy because of recurrent, spontaneous pneumothorax of the left lung. However, 6h later, gradually, 500mL of bloody fluid was seen. The bloody fluid continued to drain, so we decided on an emergency reoperation. Continuous bleeding was present along a line consistent with the stapled line of the edge of segment 6. We performed a VATS wedge resection with the edge of segment 6 folded up. Postoperatively, recovery was uneventful. Some reports demonstrated that intrapulmonary bleeding occurred late, at the stapled line. However, to our knowledge there has been no previous report on hemothorax just after surgery. This is the first report of hemothorax at the stapled line, developing after VATS bullectomy