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Multi modality treatment of an extensive pleural thymoma.

Thymomas are the most common tumours of the anterior mediastinum, with most cases presenting incidentally. We present a case of extensive pleural thymoma initially thought to be unresectable, which was treated with neoadjuvant chemotherapy and pleuro pneumonectomy. We discuss the multimodality approach to management of this tumour, in particular the use of neoadjuvant chemotherapy prior to surgical resection.