thymoma

Complete English Translation · Source 1

Chengdu Puji TRADITIONAL CHINESE MEDICINE RESEARCHINSTITUTE Traditional Chinese Medicine Outpatient Department

Chengdu Puji Traditional Chinese Medicine Research Institute

Chengdu Puji Traditional Chinese Medicine Research Institute

Traditional Chinese Medicine Case of Tumor Treatment and Recovery

Devoted to healing with integrity

Differentiate and treat according to symptoms and root causes; live with tumor

Clinical summary:

Disease type: thymoma Age: 48 Gender: female Region: Qinghai

Qinghai Province, Xining City, thymoma [PATIENT], examination in February 2025 showed tumor size approximately

4.8cm ×5.0cm ×6.1cm,

Sought traditional Chinese medicine treatment at our hospital.

self-reported chest tightness and shortness of breath due to pleural effusion, persistent cough, started in March

After medication, the follow-up examination in June 2025 showed the lesion reduced to approximately 4.5cm x 2.5cm, with abdominal cavity effusion

with liquid reduction, no new lesions, self-reported no other discomfort.

Guangzhou University of Chinese Medicine Jujia District Hospital Imaging Department

CT Diagnosis Report

Name,

Patient ID: [ID REDACTED]

department, stage II! tumor radiation admission number,

Gender:

[ID REDACTED]

female

Age:

Bed number:

[REDACTED]

48 years old

CT number:

CT [ID REDACTED]

Outpatient number:

[REDACTED]

839198

clinical diagnosis: natural treatment two lesion areas

neck + thoracic non-contrast scan + enhanced 3D reconstruction (CT) | whole abdomen + pelvis enhanced scan + 3D reconstruction (CT)

imaging findings:

"thymoma comprehensive treatment

fast shadow, borderline inconsistent

regression, regular morphology,

irregular, approximately 4.8cm×5.0cm×6cm (anterior-posterior name

left and right transverse diameter, vertical

diameter),

CT position approximately 36liu,

no enhancement seen in necrotic areas:

multiple nodules seen within the lesion

mild damage, collateral circulation opening: pericardium, left pleura involved: minimal pericardial effusion. Right pleura shows uneven thickening

granular high-density shadow, post-treatment change.

lesion involving superior vena cava,

superior vena cava seen filling defect in the right arm vein,

original, enhanced scanning shows mild enhancement,

bilateral foot door,

mediastinum (IR

2R.

high density particles visible inside,

4, 6,

7 groups)

multiple lymph nodes seen in bilateral supraclavicular fossae, right cardiac angle

star post-treatment change.

lymph nodes show mild to moderate enhancement on enhanced scanning,

both feet show multiple nodular slightly hyperdense shadows of varying sizes

largest lesion located at 4R

relatively clear borders, regular morphology, largest lesion located on the left

Short diameter approximately 1.5cm.

Lungs show multiple patchy, patchy and linear slightly high-density shadows, irregular in appearance, with clear borders: right middle lobe of the lung

Below the thyroid base (9im64), a solid lesion is observed, approximately 0.7cm×0.5cm in size, not visible on mediastinal window.

Lung volume reduced.

Remaining airway branches are patent,

Left upper lobe shows round transparent areas without pulmonary markings, the largest measuring approximately 2.0cm×1.7cm.

Mild thickening, arc-shaped fluid density shadows observed in both pleural cavities.

No obvious stenosis or dilation observed: mediastinum is central, cardiac shadow shows no enlargement, left pleural

The neck tissue structure is clear,

No pleural tissue mass detected, no clear bone abnormalities observed in the scanning range including thoracic vertebrae and ribs.

Glands are symmetric,

size,

No abnormalities in morphology and density observed.

“(central, no compression or displacement.

The pharyngeal mucosa shows no thickening,

Thyroid bilateral lobes and bilateral submental glands,

The pharyngeal recesses and eustachian tube openings are symmetric. Vocal cords are symmetrically positioned, open in the normal position, no obvious abnormalities observed in the vocal cord area and above and below the vocal cords,

The parapharyngeal space is clear, bilateral

Confirmed as a mass lesion.

Cervical Ia, bilateral cervical 1b~T, and left cervical V regions show multiple lymph node enlargements, the largest with a short diameter of approximately 0.7cm.

Patient's medication status prior to treatment, two-month examination showed tumor size approximately

4.8cm×5.0cm×6.1cm

to 0 meal Qinghai University Affiliated Hospital

Surname

Slight scan to view cloud film

Medical imaging report form》"

Name:

Gender: female

Imaging number: [REDACTED]

Age: 4, examination serial number: [ID REDACTED]

Report date: 2026-00-23

Outpatient number [REDACTED]

Date: 2025-06-23 08:17:10

10118:57

Examination name: Thorax

Clinical diagnosis: thymic malignant tumor

Examination method: enhanced

The patient's june follow-up showed the tumor size reduced to approximately 4.5cm×2.5cm

Imaging findings:

Lung window shows:

Symmetrical thoracic cage,

Clear pulmonary texture without abnormality, good transparency, scattered findings in both lower extremities

No obvious abnormalities were seen in the thoracic wall soft tissue;

Reduced volume in the right middle lobe; a large, round, translucent shadow beneath the left upper lobe pleura, scattered findings in both lower extremities

W, linear and cord-like shadows, mainly in the lung,

Multiple nodular shadows, the largest located in the lower lobe of the left lung, outer basal segment,

and the portal area:

Late line formation. Old fibrous opacities were seen in both lungs

Post-radiofrequency ablation for mediastinal malignant tumor: no mediastinal shift,

Postoperative changes in the right pleura, with scattered punctate high-density shadows

A mass shadow (measured on different planes), strong CT value approximately 28.8 HU.

a soft tissue mass measuring 4.5×2.0cm in the anterior mediastinum

Fuzzy, unclear, no contrast agent filling observed in the lumen of bilateral subclavian veins and superior vena cava; right pleural and neck areas, mediastinum

Uneven thickening of the right pleura. Minimal pleural effusion bilaterally.

Multiple tortuous vascular shadows were seen, slight pleural effusion:

No obvious enlarged lymph nodes were seen in the mediastinum;

Impression:

Post-radiofrequency ablation for mediastinal malignant tumor: changes in the anterior mediastinum and right pleura postoperatively, the lesion area is slightly more localized, bilateral subclavian veins

Compared to the film from 2024-12-24:

Multiple bilateral solid nodules are similar in size to previous findings (current enhanced scan assessment limited), recommend follow-up examination, rule out malignancy, bilateral lower extremities

Pulse and superior vena cava invasion may be similar to before, pericardial invasion cannot be ruled out as before, but a small amount of pericardial effusion is slightly less than before,

Trace pleural effusion on both sides. The right pleural thickening is uneven, but has improved slightly compared to before.

Consolidation and consolidation are similar to before.

Remaining is similar to before.