Thymoma is an uncommon malignancy which is initially treated with surg
ery. Combined modality treatment with radiation and chemotherapy is ut
ilized in cases of unresectable or metastatic disease. In patients wit
h relapse, a number of different chemotherapeutic regimens have been u
sed with varying success. The case of a male with recurrent thymoma tr
eated with carboplatin and paclitaxel is presented and the literature
reviewed. The patient responded to this novel regimen with improvement
in clinical symptoms and reduction in tumor mass. This novel regimen
has shown activity as second line therapy and merits further investiga
tion as a first line treatment for patients with invasive and or metas
tatic thymoma.