Myasthenia gravis developed 30 months after resection of recurrent thymoma

Tseng, Yau‐Lin; Chang, Jia-Ming; Shu, I-Lin; Wu, Ming‐Ho

doi:10.1016/j.ejcts.2005.10.037

Cited by 3 publications

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References 3 publications

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“…Nici exereza unei recurenţe a timomului nu exclude apariţia miasteniei postoperatorii. Astfel, Tseng prezintă un pacient care la 35 de luni după rezecţia unui timom B1 şi stadiul II Masaoka, este operat pentru o metastază pleurală dreaptă [18]. După alte 30 de luni dezvoltă fenomenele miasteniei gravis acesta fiind controlată prin tratament cu cortizon şi anticolinesterazice [18].…”

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Miastenia Gravis Post-Timectomie

Motaş¹,

Motaş²,

Horvat³

2013

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Although the relationship between myasthenia gravis and thymomas it is well known, with some of myasthenias disappearing after thymectomy, myasthenia may develop after thymoma resection. We present a case of 36 years old man who developed generalized myasthenia 6 years after thymoma surgery; it had been performed tumorectomy, mediastinal fat resection, resection of the anterior wall of left brachiocefalic vein with PTFE patch reconstruction (Masaoka stage III thymoma). After 4 years of corticoid therapy (methylprednisolone) he was operated for steroid cataract. 11 years after resection he is tumor-free and the brachiocefalic vein is functional on CT-scan. Myasthenia after thymectomy is rare but possible after thymoma resection; it is not influenced by association of mediastinal fat resection. The titer of specific auto antibodies and the grade of thymoma invasion are predictive factors for myasthenia development after thymectomy.

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Section: Prezentare De Cazunclassified