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经宫颈切除胸腺瘤及电视辅助胸腔镜扩大胸腺切除术(VATET)治疗伴重症肌无力的异位颈部胸腺瘤:病例报告

Transcervical excision of thymoma and video-assisted thoracoscopic extended thymectomy (VATET) for ectopic cervical thymoma with myasthenia gravis: report of a case.

作者信息

Kumazawa Sachiko, Ishibashi Hironori, Takahashi Ken, Okubo Kenichi

机构信息

Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2016 Dec;64(12):752-754. doi: 10.1007/s11748-015-0582-3. Epub 2015 Sep 3.

Abstract

Myasthenia gravis is the most common disease associated with thymoma, but it is rarely accompanied by ectopic thymoma. We describe a 47-year-old woman who presented with an ectopic cervical thymoma with myasthenia gravis. She was admitted to our neurology department with ptosis, diplopia, and mandibular muscle fatigue, and was diagnosed with myasthenia gravis. The mass was located posterior to the right lobe of thyroid gland on computed tomography and was diagnosed as ectopic thymoma on fine-needle aspiration biopsy examination. Transcervical excision of thymoma and VATET were performed. The patient has been free of neurological symptoms and has displayed no evidence of recurrent thymoma for 2 years.

摘要

重症肌无力是与胸腺瘤相关的最常见疾病,但很少伴有异位胸腺瘤。我们描述了一名47岁女性,她患有伴有重症肌无力的异位颈部胸腺瘤。她因上睑下垂、复视和咀嚼肌疲劳入住我们的神经科,被诊断为重症肌无力。计算机断层扫描显示肿块位于甲状腺右叶后方,细针穿刺活检检查诊断为异位胸腺瘤。进行了经颈胸腺瘤切除术和电视辅助胸腔镜手术。该患者2年来一直没有神经症状,也没有胸腺瘤复发的迹象。

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