Thoracoscopic resection of giant thymolipoma

Thymolipomas are rare benign tumors of the thymic gland. We describe a case of an eight-year-old boy who presented after a syncopal episode secondary to a large mediastinal mass found to be a thymolipoma on percutaneous biopsy. Successful thoracoscopic thymectomy was performed with complete resection of the tumor en-bloc with the thymus. Given the association with myasthenia gravis and other pathologic processes, we propose a thoracoscopic thymectomy be performed in conjunction with thymolipoma resections when feasible.