Poster électronique

"Le thymus sur le divan": sémiologie normale et pathologique
M. Jolibert, S. Coze, P. Cassagneau, B. Maurel, C. Muller, V. Vidal, JM. Bartoli, G. Moulin, JY. Gaubert - Marseille - France
Congrès 2011
Poster primé par le jury
Résumé
Objectifs pédagogiques
Connaître les aspects normaux de la loge thymique et les principales lésions thymiques bénignes et malignes.
Connaître les signes radiologiques permettant de différencier une lésion thymique épithéliale bénigne d'une lésion maligne au scanner et à l'IRM.
Connaître les modes de dissémination d'une lésion thymique épithéliale primitive.
Connaître les implications thérapeutiques.
Messages à retenir
Au scanner et à l'IRM, la différence entre un thymome non invasif et un thymome invasif ou un carcinome thymique est basée sur la régularité des contours ; l'envahissement de la graisse médiastinale et des structures vasculaires.
La différence entre un thymome invasif et un carcinome thymique est essentiellement fondée sur la présence de métastases à distance et d'adénopathies médiastinales qui suggèrent un carcinome thymique.
Le traitement de référence de toute lésion thymique reste la chirurgie et il faut donc s'attacher à réaliser un bilan de réséquabilité.
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