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

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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.

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References

  1. Wu TH, Jin JS, Huang TW, Chang H, Lee SC. Ectopic cervical thymoma in a patient with myasthenia gravis. J Cardiothorac Surg. 2011;6:89.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Choi H, Koh SH, Park MH, Kim SH. Myasthenia gravis associated with ectopic cervical thymoma. J Clin Neurosci. 2008;15:1393–5.

    Article  PubMed  Google Scholar 

  3. Koezuka S, Sato F, Hata Y, Otsuka H, Yussa R, Kiribayashi T, et al. Video-assisted thoracoscopic surgery for ectopic middle mediastinal thymoma in a patient with myasthenia gravis. Ann Thorac Surg. 2013;95:e67–8.

    Article  PubMed  Google Scholar 

  4. Kim HS, Lee HJ, Cho SY, Koh JS, Ryoo BY, Kim CH, Lee JC. Myasthenia gravis in ectopic thymoma presenting as pleural masses. Lung Cancer. 2007;57:115–7.

    Article  PubMed  Google Scholar 

  5. Suster S, Rosai J. Histology of the normal thymus. Am J Surg Pathol. 1990;14:284–303.

    Article  CAS  PubMed  Google Scholar 

  6. Nakamura H, Adachi Y, Fujioka S, Miwa K, Haruki T, Taniguchi Y. Thoracoscopic resection of middle mediastinal noninvasive thymoma: report of a case. Surg Today. 2007;37:787–9.

    Article  PubMed  Google Scholar 

  7. Nagasawa K, Takahashi K, Hayashi T, Aburano T. Ectopic cervical thymoma: MRI findings. Am J Roentgenol. 2004;182:262–3.

    Article  Google Scholar 

  8. Fukuda T, Itami M, Sawa H, Furukawa T, Fukakusa S, Tsuchihashi N, et al. A case of thymoma arising from undescended thymus. High uptake of Tallium-201 Chloride. Eur J Nucl Med. 1980;5:465–8.

    Article  CAS  PubMed  Google Scholar 

  9. Miller WT Jr, Gefter WB, Miller WT. Thymoma mimicking a thyroid mass. Radiology. 1992;184:75–6.

    Article  PubMed  Google Scholar 

  10. Kato H, Hattori T, Urano M, Sakura K, Okada T, Yui T, et al. A case report of ectopic cervical thymoma: a new approach for a preoperative diagnosis. J Jpn Soc Head Neck Surg. 2010;20:185–90.

    Article  Google Scholar 

  11. Vincent A, Palace J, Hilton-Jones D. Myasthenia gravis. Lancet. 2001;357:2122–8.

    Article  CAS  PubMed  Google Scholar 

  12. Zahid I, Sharif S, Routledge T, Scarci M. Video-assisted thoracoscopic surgery or transsternal thymectomy in the treatment of myasthenia gravis? Interact Cardiovasc Thorac Surg. 2011;12:40–6.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. 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

    Sachiko Kumazawa, Hironori Ishibashi, Ken Takahashi & Kenichi Okubo

Authors
  1. Sachiko Kumazawa
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  2. Hironori Ishibashi
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  3. Ken Takahashi
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  4. Kenichi Okubo
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Correspondence to Kenichi Okubo.

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Kumazawa, S., Ishibashi, H., Takahashi, K. et al. Transcervical excision of thymoma and video-assisted thoracoscopic extended thymectomy (VATET) for ectopic cervical thymoma with myasthenia gravis: report of a case. Gen Thorac Cardiovasc Surg 64, 752–754 (2016). https://doi.org/10.1007/s11748-015-0582-3

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  • DOI: https://doi.org/10.1007/s11748-015-0582-3

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