We report a case of thymic basaloid carcinoma in a 65-yr-old man who p
resented with symptoms referable to the mass effect of the tumor. The
tumor arose in association with a multilocular thymic cyst and microsc
opically was characterized by islands, nests, and cords of basaloid ce
lls. The tumor cells demonstrated prominent palisading around most of
the neoplastic islands and nests. The tumor was excised, and there was
no evidence of recurrent or metastatic disease in the 6-mo follow-up
period, Including the current case, seven cases of basaloid thymic car
cinoma have been reported in the English literature, four of which (57
%) were associated with a multiloculated thymic cyst. Follow-up was av
ailable on three patients, Although no patient has died of tumor, pulm
onary metastases developed in two patients, Although basaloid thymic c
arcinoma is currently considered a tumor of low-grade histology, more
cases need to be studied to determine the longterm prognosis of these
tumors.