Wilde Sawley A, Carroway William P, Hsu Diana S, Banks Kian C, Velotta Jeffrey B
Department of Surgery, UCSF East Bay, Oakland, CA, USA.
Department of Thoracic Surgery, Kaiser Oakland Medical Center, Oakland, CA, USA.
J Surg Case Rep. 2022 Sep 5;2022(9):rjac368. doi: 10.1093/jscr/rjac368. eCollection 2022 Sep.
After being diagnosed with myasthenia gravis, a 55-year-old male was referred for treatment of an invasive thymoma. Preoperative imaging revealed a thymoma adjacent to the superior vena cava (SVC) with possible invasion of the left innominate vein. After multidisciplinary discussion, he underwent upfront en bloc resection of the tumor with SVC resection and reconstruction. He was discharged after an uncomplicated postoperative course with improvement of his symptoms.
一名55岁男性被诊断为重症肌无力后,因侵袭性胸腺瘤前来接受治疗。术前影像学检查显示,胸腺瘤紧邻上腔静脉(SVC),可能侵犯左无名静脉。经过多学科讨论后,他接受了肿瘤整块切除并同时进行上腔静脉切除和重建手术。术后过程顺利,症状改善,随后出院。