Synchronous lung adenocarcinoma in situ and type B2-B3 thymoma in a frozen hemithorax: a case report and multidisciplinary approach - Takeaways - MDSpire

Synchronous lung adenocarcinoma in situ and type B2-B3 thymoma in a frozen hemithorax: a case report and multidisciplinary approach

  • By

  • Chenglin Fan

  • Gaoyuan Sang

  • Ziyi Liang

  • Jialin Yu

  • Sixuan Song

  • Jingjun Zhu

  • Zhengzhe Xu

  • May 15, 2026

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  • 1

    Synchronous primary lung adenocarcinoma in situ and type B2-B3 thymoma are rare, complicating diagnosis and management.

  • 2

    PET/CT can mislead diagnosis due to hypermetabolic activity from inflammation, mimicking aggressive malignancies.

  • 3

    A multidisciplinary team approach is crucial for high-risk patients to avoid misdiagnosis and unnecessary surgical interventions.

  • 4

    The patient underwent successful uniportal VATS for resection despite extensive pleural adhesions from prior tuberculosis.

  • 5

    Final pathology revealed a small adenocarcinoma in situ obscured by organizing pneumonia, highlighting diagnostic challenges.

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