Royal London Hospital, London, UK.
Ann R Coll Surg Engl. 2021 Jul;103(7):e212-e215. doi: 10.1308/rcsann.2020.7089.
We present a case of a man with a background of myasthenia gravis who presented with a neck lump, which was diagnosed as thyrolipomatosis in continuity with a very large thymolipoma. Following removal of these lesions, the patient's myaesthenic symptoms improved. While thymolipomas are often seen in the context of myasthenia gravis, thyrolipomatosis is a rare entity and to our knowledge the concurrent finding of both lesions with myasthenia gravis has never been reported. We highlight the important imaging features of both entities and the clinical importance of recognising them.
我们报告了 1 例重症肌无力患者,该患者出现颈部肿块,诊断为与巨大胸腺瘤连续的甲状腺脂肪瘤病。切除这些病变后,患者的肌无力症状改善。虽然胸腺瘤在重症肌无力中很常见,但甲状腺脂肪瘤病是一种罕见的疾病,据我们所知,同时伴有重症肌无力的这两种病变的发现从未有报道过。我们强调了这两种病变的重要影像学特征及其临床意义。