학술논문

A case of ectopic cervical thymoma with myasthenia gravis mimicking a parathyroid tumour.
Document Type
Case Study
Source
Respirology Case Reports. Nov2022, Vol. 10 Issue 11, p1-4. 4p.
Subject
*MYASTHENIA gravis
*THYMOMA
*PARATHYROID glands
*TUMORS
*DIAGNOSTIC examinations
*RADIONUCLIDE imaging
Language
ISSN
2051-3380
Abstract
Reports of cervical thymoma with myasthenia gravis are rare. In addition, 99mTc‐MIBI (methoxyisobutylisonitrile:sestamibi) scintigraphy is a useful diagnostic examination for enlarged parathyroid tumours; however, there are a few reports of its accumulation in thymoma. Among them, there are no reports of cervical thymomas with 99mTc‐MIBI accumulation complicated by myasthenia gravis. In this study, we performed surgery on a patient with preoperative myasthenic crisis accompanied by a cervical thymoma and a parathyroid tumour. Preoperatively, the cervical mass was determined to be a parathyroid tumour and was complicated by myasthenia gravis without thymic tumour. However, a pathological examination revealed that the cervical tumour with 99mTc‐MIBI accumulation was a Type B2 thymoma, and a parathyroid tumour was identified in the vicinity. We report a very rare case in which symptoms improved with surgery. [ABSTRACT FROM AUTHOR]