A rare case of microscopically sized thymoma is described in a 56 year
old man suffering from myasthenia gravis. Histological examination of
the surgically removed thymus showed the presence of several epitheli
al thymoma-like islands, As controls, 100 thymuses obtained from conse
cutive necropsies were sampled: 4% of these cases showed epithelial is
lands. This case is further proof that ''microscopic thymoma'' is a tr
ue pathological entity and suggests that every thymus removed from mya
sthenic patients in which there is no macroscopic evidence of thymoma
should be examined microscopically on serial sections.