A case of malignant thymoma presenting as the superior vena cava syndr
ome is reported. A 56-year old male was admitted with superior vena ca
va syndrome. CT and NMR-CT scan showed a solid homogenous superior med
iastinal mass; which filled the lumen of the superior vena cava and th
e right atrium. A biopsy of the right atrial mass showed myxoma, and o
peration was performed. Histopathologically the tumor was diagnosed as
thymoma. Intracaval and intracardiac extension of a thymoma is very r
are.