“…Thymic carcinoma is rare with an incidence of 0.15 cases per 100,000 [ 1 ]. There are 3 ways thymic carcinomas can metastasize: hematogenous, or lymphatic routes, and direct invasion of adjacent organs [ 5 ]. Thymic carcinoma often metastasizes to the regional lymph nodes and variable extra-thoracic organs, particularly bone, lung, and liver [ 6 ]; 80% of cases have local invasion of contiguous mediastinal structures, and 40% of cases present with metastatic spread to bones, lung, pleura, liver, or lymph node [ 7 ].…”