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Volume 14
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10.3390/jcm14020620
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Background:
Case Report

Multilocular Thymic Cyst with High F18 Fluorodeoxyglucose Uptake and Rheumatoid Arthritis: A Case Report

by
Francesco Ferrante
*,
Camilla Poggi
,
Anastasia Centofanti
,
Rita Vaz Sousa
,
Valerio Sebastianelli
,
Antonio Pio Evangelista
,
Francesco Mattoccia
,
Beatrice Zacchini
,
Tiziano De Giacomo
,
Marco Anile
,
Federico Venuta
and
Massimiliano Bassi
Division of Thoracic Surgery, Policlinico Umberto I, Sapienza University of Rome, 00165 Rome, Italy
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2025, 14(2), 620; https://doi.org/10.3390/jcm14020620
Submission received: 9 November 2024 / Revised: 12 January 2025 / Accepted: 16 January 2025 / Published: 18 January 2025
(This article belongs to the Special Issue Multidisciplinarity in Thoraco-Pulmonary Diseases: Every Generation Needs a New Revolution. Insights from the XXII SIET National Meeting)
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Abstract

Background: multilocular thymic cysts are uncommon acquired cysts in the anterior mediastinum caused by incomplete thymic involution. They may be associated with autoimmune diseases, such as rheumatoid arthritis and systemic sclerosis. Methods: a 61-year-old man with a history of rheumatoid arthritis for 8 years was referred to our unit because of a multiloculated mass in the anterior mediastinum with a high F18 fluorodeoxyglucose uptake at PET-CT scan. Histology showed a multilocular thymic cyst with lymphoid tissue, organized in germinal centers and internodal areas. Results: rheumatoid arthritis-related symptoms progressively disappeared after the excision of the mass. Conclusions: to our knowledge, this is the first report in the English language of rheumatoid arthritis symptoms improvement after multilocular thymic cyst surgical removal.
Keywords: multilocular thymic cyst; rheumatoid arthritis; thymus; immunoregulation multilocular thymic cyst; rheumatoid arthritis; thymus; immunoregulation

Correction Statement

This article has been republished with a minor correction to the Institutional Review Board Statement. This change does not affect the scientific content of the article.

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MDPI and ACS Style

Ferrante, F.; Poggi, C.; Centofanti, A.; Vaz Sousa, R.; Sebastianelli, V.; Evangelista, A.P.; Mattoccia, F.; Zacchini, B.; De Giacomo, T.; Anile, M.; et al. Multilocular Thymic Cyst with High F18 Fluorodeoxyglucose Uptake and Rheumatoid Arthritis: A Case Report. J. Clin. Med. 2025, 14, 620. https://doi.org/10.3390/jcm14020620

AMA Style

Ferrante F, Poggi C, Centofanti A, Vaz Sousa R, Sebastianelli V, Evangelista AP, Mattoccia F, Zacchini B, De Giacomo T, Anile M, et al. Multilocular Thymic Cyst with High F18 Fluorodeoxyglucose Uptake and Rheumatoid Arthritis: A Case Report. Journal of Clinical Medicine. 2025; 14(2):620. https://doi.org/10.3390/jcm14020620

Chicago/Turabian Style

Ferrante, Francesco, Camilla Poggi, Anastasia Centofanti, Rita Vaz Sousa, Valerio Sebastianelli, Antonio Pio Evangelista, Francesco Mattoccia, Beatrice Zacchini, Tiziano De Giacomo, Marco Anile, and et al. 2025. "Multilocular Thymic Cyst with High F18 Fluorodeoxyglucose Uptake and Rheumatoid Arthritis: A Case Report" Journal of Clinical Medicine 14, no. 2: 620. https://doi.org/10.3390/jcm14020620

APA Style

Ferrante, F., Poggi, C., Centofanti, A., Vaz Sousa, R., Sebastianelli, V., Evangelista, A. P., Mattoccia, F., Zacchini, B., De Giacomo, T., Anile, M., Venuta, F., & Bassi, M. (2025). Multilocular Thymic Cyst with High F18 Fluorodeoxyglucose Uptake and Rheumatoid Arthritis: A Case Report. Journal of Clinical Medicine, 14(2), 620. https://doi.org/10.3390/jcm14020620

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