The authors present a case of mixed thymoma and thymic squamous carcinoma. Pleural metastases from the thymoma, which was of the spindled phenotype (type A) were identified in the radical resection specimen. Lymph node metastasis from the carcinoma element was also identified. The thymoma was unique in that there was a prominent Langerhans cell background, a feature previously associated with micronodular thymoma.
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Legesse et al. (2021) studied this question.
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