Myasthenia gravis appearing after thymectomy heralding recurrent thymoma.
Acta Chir Belg
; 119(3): 195-197, 2019 Jun.
Article
in En
| MEDLINE
| ID: mdl-29768973
ABSTRACT
INTRODUCTION:
Thirty to fifty percent of thymoma patients develop myasthenia gravis (MG). In 1.5-28% of cases, MG appears many years after removal of a thymoma. PATIENTS ANDMETHODS:
We present a case report of a 72-year-old female who presented with MG four months after total thymectomy.RESULTS:
A 72-year-old female patient presents with MG four months after total thymectomy. Imaging revealed a PET-positive nodule anterior to the superior vena cava. By median sternotomy, the nodule was removed at our hospital. Pathology confirmed a recurrent B2/B3 thymoma with R0 resection. No adjuvant therapy was given. Large population studies show the appearance of new-onset MG associated with recurrent thymoma in 3% of cases.CONCLUSIONS:
New-onset MG postthymectomy heralds recurrent disease in 3% of cases. Thorough screening is needed in such patients.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Thymectomy
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Thymoma
/
Thymus Neoplasms
/
Myasthenia Gravis
/
Neoplasm Recurrence, Local
Type of study:
Diagnostic_studies
Limits:
Aged
/
Female
/
Humans
Language:
En
Year:
2019
Type:
Article