Abstract

Various cancers (lung, colon, soft tissue, digestive system ete.) have been reported as second malignaney in about 15 percent of patients with thymoma. A 44 year old man who has mediastinal mass was performed left toracotomy and mass excision and diagnosed as mixt type thymoma and capsule invasion. After the patient was referred to our ctinic for postoperative radiotherapy and was evaluated as stage 2. Total dose of 56 Gy was planned to mediasten and primary mass area. İn follow-up thorax computerized tomography taken fourth months after radiotherapy was normal and routine Controls were vvithout iitness during six years. Unfortunately six years after radiotherapy fiberoptic broncoscopy was applied from upper lobe of right lung because of dyspnea and hemoptysis and nonsmall celi lung cancer was estabilished. At the same time thorax computerized tomography showed right hilar mass and caviter lesion associated vvith this. Therefore, chemotherapy was planned vvith Cisplatin and Gemcitabin. But the patient ıvas lost because of severe hemoptysis before chemotherapy in one month.