Thymic cancer

Thymic cancer is cancer of the thymus. The thymus is a gland in the chest between the sternum and the trachea. Another word for thymus is thymus. Thymic cancer is rare and usually grows slowly. In the Netherlands, about 40 to 60 people are diagnosed with this disease every year. It is slightly more common in men than in women.

On this page you can read more about the symptoms, examinations and treatments for thymic cancer.

Learn more about thymic cancer

Causes of thymic cancer

The cause of thymic cancer is not known. We also do not know whether there are risk factors that increase the risk of thymic cancer. Thymic cancer is not hereditary.

Symptoms of thymic cancer

Often a tumor in the thymus is discovered by accident. Sometimes there are complaints, such as a feeling of pressure in the chest or coughing. Because a thymus tumor usually grows slowly, the symptoms often get worse slowly and stay for a long time.

In about 30% of people with thymic cancer, the first symptoms are muscle weakness during exertion or drooping eyelids during the day. These symptoms are part of a syndrome called Myasthenia Gravis. People with these complaints then come to the pulmonologist via the neurologist for further examination.

If the tumor continues to grow into the tissue around the thymus, other symptoms may appear, such as:

  • Shortness of breath
  •  Upper respiratory tract infection
  • Fatigue
  • Weight loss
  • Pneumonia

Symptoms that may indicate lung cancer are:

  • a lot of mucus in the lungs
  • dry irritating cough that lasts for weeks
  • blood in coughed up mucus
  • shortness of breath
  • pneumonia that does not go away, not even with antibiotics
  • hoarseness without a sore throat
  • a swelling in the neck or face
  • chest pain
  • back pain or pain in the shoulders.

Types of thymic cancer

There are 3 types of tumors in thymic cancer:

  • Thymomas: these are the most common. They usually grow slowly and almost never metastasize
  • Thymic carcinomas: these usually grow faster than thymomas and often metastasize
  • Thymic carcinoids: these also grow slowly

Diagnosis

To diagnose thymic cancer, the following tests are performed:

Thymic cancer treatment

Which treatment you receive depends on the type of tumour. We try to remove the tumor with surgery. Sometimes this is not possible, for example because the tumor is too large or because of your health or condition. Then we will see if radiation, chemotherapy or another treatment is possible. The doctor will explain well in advance what is going to happen and you will have plenty of time to ask questions. You will receive one or more of the following treatments:

Read more about making an appointment and second opinion

Your exact treatment options will depend on the tumor type and stage. Our aim is to surgically remove the tumor, but if this is not an option due to its size, or the overall health and shape of the patient, we can consider whether radiation therapy, chemotherapy, or a different treatment type might be an option for you. We will inform you about the process beforehand, and you will have plenty of time to ask questions. Your treatment will most likely consist of one or more of the following treatments: