Multidisciplinary Approach to Advanced Thymoma with Pleural Dissemination: A Case of Complete Resection through Pleurectomy Decortication

Advanced-stage thymoma may present, in rare cases, with extensive pleural disease at the time of diagnosis (Masaoka IVA). Accounting for the low incidence and the variety of therapeutic strategies available in the literature, no consensual treatment has been established. A multimodal treatment plan including surgery, radiotherapy and chemotherapy should be preferred, allowing for a more favorable prognosis. Complete resection constitutes the basis of treatment for thymomas. Herein, we present a case of an advanced thymoma with extended pleural dissemination for which complete resection was achieved through pleurectomy decortication, through a multidisciplinary approach.