Title
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Myasthenia gravis appearing after thymectomy heralding recurrent thymoma
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Author
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Abstract
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Introduction: Thirty to fifty percent of thymoma patients develop myasthenia gravis (MG). In 1.528% of cases, MG appears many years after removal of a thymoma. Patients and methods: We present a case report of a 72-year-old female who presented with MG four months after total thymectomy. Results: A 72-year-old female patient presents with MG four months after total thymectomy. Imaging revealed a PET-positive nodule anterior to the superior vena cava. By median sternotomy, the nodule was removed at our hospital. Pathology confirmed a recurrent B2/B3 thymoma with R0 resection. No adjuvant therapy was given. Large population studies show the appearance of new-onset MG associated with recurrent thymoma in 3% of cases. Conclusions: New-onset MG postthymectomy heralds recurrent disease in 3% of cases. Thorough screening is needed in such patients. |
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Language
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English
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Source (journal)
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Acta chirurgica Belgica. - Brussel, 1946 - 1996
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Publication
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Brussel
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2019
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ISSN
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0001-5458
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DOI
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10.1080/00015458.2018.1438556
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Volume/pages
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119
:3
(2019)
, p. 195-197
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ISI
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000467741900010
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Pubmed ID
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29768973
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Full text (Publisher's DOI)
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Full text (open access)
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Full text (publisher's version - intranet only)
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