{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:10:19Z","timestamp":1756289419112,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,9]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Thymic carcinoma is a rare tumour of the thymus, representing less than 1% of thymic malignancies.\n<jats:sup>1<\/jats:sup>\n It has an annual incidence of 0.15\u20130.32 per 1\u200900\u2009000 person-years.\n<jats:sup>2<\/jats:sup>\n It is found incidentally in 30% of the patients as an opacity on chest X-ray or with non-specific complaints of persistent cough, chest pain, fatigue, shortness of breath, arm and facial swelling, and upper airway congestion related to tumour extension. We present the case of a 59-year-old man with a history of Graves\u2019 disease status post radiation treatment presenting with cough and left lingual opacity on chest X-ray, confirmed to be thymic carcinoma with pericardial invasion and lymph node metastasis. We aim to discuss the presentation, treatment modalities and outcome associated with this rare tumour.<\/jats:p>","DOI":"10.1136\/bcr-2018-229136","type":"journal-article","created":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T08:07:36Z","timestamp":1554106056000},"page":"e229136","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["A bimodal approach to thymic carcinoma with pericardial sac invasion"],"prefix":"10.1136","volume":"12","author":[{"given":"Adnan","family":"Ahmed","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Presence Saint Joseph Hospital, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2714-5923","authenticated-orcid":false,"given":"Sarthak","family":"Soin","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Presence Saint Joseph Hospital, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabah","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Presence Saint Joseph Hospital, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,31]]},"reference":[{"key":"2025082702383818000_12.3.e229136.1","unstructured":"Caneron RB , Loehrer PJ , Thomas CR . 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