Article Text

Download PDFPDF
CASE REPORT
Third distant recurrence of benign thymoma in a patient with myasthenia gravis
  1. Justin Tyler Van Backer1,
  2. Alex Cedeno-Rodriguez2 and
  3. John Nabagiez2
  1. 1 General Surgery, Albany Medical Center Hospital, Albany, New York, USA
  2. 2 Thoracic Surgery, Albany Medical Center Hospital, Albany, New York, USA
  1. Correspondence to Dr Justin Tyler Van Backer, vanbacj{at}mail.amc.edu

Abstract

Myasthenia gravis (MG) is an autoimmune disease where antibodies attack the presynaptic terminals at the neuromuscular junction causing progressive weakness. Associated with thymomas, resection can improve symptoms. A 29-year-old woman with MG who underwent two previous thymectomies, at ages 11 and 15 presented 14 years later with recurrent MG symptoms and an anterior mediastinal mass. Robotic-assisted thoracoscopic excision of the mediastinal mass was performed without complications. She recovered well and had improvement of her MG symptoms. Thymectomy can significantly improve symptoms in MG even for patients who do not have a thymoma. Reports of distant benign thymoma recurrence are rare. MG patients require continued monitoring and vigilance, even after thymectomy. Benign thymomas can recur even after significant time intervals, and utilisation of the robotic platform for recurrent thymoma excision is safe, even following two sternotomies. Patient symptoms improve with redo thymectomy.

  • cardiothoracic surgery
  • neuromuscular disease
  • movement disorders (other than Parkinsons)

Statistics from Altmetric.com

Footnotes

  • Contributors JTVB was involved in this intraoperative and postoperative care. He drafted and edited the manuscript and approves of its publication. AC-R was also involved in the patient’s intraoperative and postoperative care, drafted and edited the manuscript and approves of its publication. JN was involved in the patient’s preoperative, intraoperative and postoperative care, drafted and edited the manuscript and approves of its publication.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.