Or R, Raz I, Raveh D, Lichovitzki G, Kleinman Y
Klin Wochenschr. 1987 Jul 1;65(13):617-9. doi: 10.1007/BF01726671.
A 45-year-old male developed myasthenia gravis 8 years ago. He received prednisone for 3 years, and resumed complete clinical remission. Five years later, he was admitted with obstruction of the superior vena cava. Invasive thymoma was diagnosed by chest X-ray and an open lung biopsy. Radiation followed by combination chemotherapy with cyclophosphamide, vincristine, and prednisone induced a complete remission. The patient remained disease-free for more than 20 months after the first admission to our department. To the best of our knowledge, superior vena cava syndrome as the presenting symptom of thymoma has never been reported previously.
一名45岁男性8年前患上重症肌无力。他接受了3年的泼尼松治疗，并恢复了完全临床缓解。5年后，他因上腔静脉阻塞入院。胸部X线和开放性肺活检诊断为侵袭性胸腺瘤。放疗后联合环磷酰胺、长春新碱和泼尼松化疗诱导完全缓解。该患者首次入住我科后20多个月无疾病复发。据我们所知，上腔静脉综合征作为胸腺瘤的首发症状此前从未有过报道。
