Thymolipoma is a rare tumor composed of both adipose and mature thymic
elements which may grow to very large sizes before becoming symptomat
ic. Since thymolipomas are benign tumors and do not invade adjacent st
ructures, a plane of dissection can readily be developed during surgic
al resection. We report a large tumor involving both thoracic cavities
which was successfully excised from a left thoracotomy incision with
preservation of adjacent nerves and blood vessels.