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. 2020 Dec;12(12):7626–7634. doi: 10.21037/jtd-20-818

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2020 Journal of Thoracic Disease. All rights reserved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0.

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Thoracic CT of a 19-year-old patient with stage IV B3 thymoma. Thymic tissue invades great vessels with pleural tumor metastases. The patient underwent mediastinotomy under local anesthesia after inconclusive tru-cut biopsies.