胸腺类癌(thymic carcinoid)于1972年由Rosai等[1]首次命名,起源于胸腺内的Kulchitzky细胞,属于神经内分泌癌,其发生率约占全部胸腺肿瘤的2%~5%[2],属较罕见疾病。胸腺类癌缺乏典型临床症状,常见症状包括胸闷、胸痛、胸部不适、憋气、咳嗽、咳痰等,部分患者完全没有临床症状,仅在查体时发现胸腺肿物。胸腺类癌恶性程度较高,易发生转移,但以脊柱转移症状为首发表现的胸腺类癌病例尚未见报道。2015年3月,我科收治 Thymus carcinoid (thymic carcinoid) was first named by Rosai et al [1] in 1972 and originated in Kulchitzky cells in the thymus. It belongs to neuroendocrine carcinoma, accounting for 2% -5% of all thymic tumors [2] It is a rare disease. Thyroid carcinoid lack of typical clinical symptoms, common symptoms include chest tightness, chest pain, chest discomfort, suffocation, cough, sputum, etc. Some patients have no clinical symptoms, only found in the examination of thymus. Thymus carcinoid higher malignant, prone to metastasis, but the symptoms of spine metastasis as the first manifestation of thymic carcinoid cases have not been reported. March 2015, our department admitted