Experimental Epilepsy Group, Box 29, Queen Square, London WC1N 3BG, United Kingdom.
Neuromuscul Disord. 2011 Apr;21(4):279-81. doi: 10.1016/j.nmd.2011.01.002. Epub 2011 Feb 5.
Current practice favors imaging of people with myasthenia gravis (MG) at the time of diagnosis to look for evidence of thymoma or thymic hyperplasia. However, there is no evidence to allow any recommendation about repeat imaging in people with normal scans at presentation, and there is little evidence to recommend surgical exploration in such cases. We present a patient with a delayed presentation of invasive thymoma 11 years after a normal thoracic computerized tomography.
目前的实践倾向于在诊断时对重症肌无力 (MG) 患者进行影像学检查,以寻找胸腺瘤或胸腺增生的证据。然而,目前没有证据支持对初次检查正常的患者进行重复影像学检查的任何建议,也几乎没有证据支持在这种情况下进行手术探查。我们报告了一例在初次胸部计算机断层扫描正常 11 年后出现侵袭性胸腺瘤的迟发性病例。