Thymoma-Associated Graft-Versus-Host–Like Disease With Skin Manifestations Improved by Complete Resection of Thymoma Makoto Motoishi, MD, Keigo Okamoto,

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Thymoma-Associated Graft-Versus-Host–Like Disease With Skin Manifestations Improved by Complete Resection of Thymoma Makoto Motoishi, MD, Keigo Okamoto, MD, Ryosuke Kaku, MD, Satoru Sawai, MD, PhD, Jun Hanaoka, MD, PhD The Annals of Thoracic Surgery Volume 100, Issue 3, Pages 1078-1080 (September 2015) DOI: 10.1016/j.athoracsur.2014.10.080 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Skin lesions of the lower extremities (A) before the operation and (B) at 3 months after resection. The Annals of Thoracic Surgery 2015 100, 1078-1080DOI: (10.1016/j.athoracsur.2014.10.080) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Chest computed tomography revealed an anterior mediastinal tumor. The Annals of Thoracic Surgery 2015 100, 1078-1080DOI: (10.1016/j.athoracsur.2014.10.080) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Biopsy specimen of the skin revealed acanthosis with extension of rete ridge, parakeratosis in the epidermal layer with liquefaction degeneration of basal epidermal layer, dyskeratosis with satellite cell necrosis, and presence of lymphocytic infiltration around the vessels in the superficial dermis (hematoxylin and eosin stain; original magnification ×200). The Annals of Thoracic Surgery 2015 100, 1078-1080DOI: (10.1016/j.athoracsur.2014.10.080) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions