A case of ectopic cervical thymoma with myasthenia gravis mimicking a parathyroid tumour

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...

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Main Authors: Go Kamimura, Kazuhiro Ueda, Aya Takeda, Ryo Miyata, Masaya Aoki, Toshiyuki Nagata, Masami Sato
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.1052
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author Go Kamimura
Kazuhiro Ueda
Aya Takeda
Ryo Miyata
Masaya Aoki
Toshiyuki Nagata
Masami Sato
author_facet Go Kamimura
Kazuhiro Ueda
Aya Takeda
Ryo Miyata
Masaya Aoki
Toshiyuki Nagata
Masami Sato
author_sort Go Kamimura
collection DOAJ
description 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.
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spelling doaj.art-1c2d38febb5e4979b2dd26d63b19debf2022-12-22T03:34:46ZengWileyRespirology Case Reports2051-33802022-11-011011n/an/a10.1002/rcr2.1052A case of ectopic cervical thymoma with myasthenia gravis mimicking a parathyroid tumourGo Kamimura0Kazuhiro Ueda1Aya Takeda2Ryo Miyata3Masaya Aoki4Toshiyuki Nagata5Masami Sato6Department of General Thoracic Surgery Graduate School of Medical and Dental Sciences, Kagoshima University Kagoshima JapanDepartment of General Thoracic Surgery Graduate School of Medical and Dental Sciences, Kagoshima University Kagoshima JapanDepartment of General Thoracic Surgery Graduate School of Medical and Dental Sciences, Kagoshima University Kagoshima JapanDepartment of General Thoracic Surgery Graduate School of Medical and Dental Sciences, Kagoshima University Kagoshima JapanDepartment of General Thoracic Surgery Graduate School of Medical and Dental Sciences, Kagoshima University Kagoshima JapanDepartment of General Thoracic Surgery Graduate School of Medical and Dental Sciences, Kagoshima University Kagoshima JapanDepartment of General Thoracic Surgery Graduate School of Medical and Dental Sciences, Kagoshima University Kagoshima JapanAbstract 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.https://doi.org/10.1002/rcr2.105299mTc‐MIBI accumulationcervical thymomamyasthenia gravisparathyroid tumour
spellingShingle Go Kamimura
Kazuhiro Ueda
Aya Takeda
Ryo Miyata
Masaya Aoki
Toshiyuki Nagata
Masami Sato
A case of ectopic cervical thymoma with myasthenia gravis mimicking a parathyroid tumour
Respirology Case Reports
99mTc‐MIBI accumulation
cervical thymoma
myasthenia gravis
parathyroid tumour
title A case of ectopic cervical thymoma with myasthenia gravis mimicking a parathyroid tumour
title_full A case of ectopic cervical thymoma with myasthenia gravis mimicking a parathyroid tumour
title_fullStr A case of ectopic cervical thymoma with myasthenia gravis mimicking a parathyroid tumour
title_full_unstemmed A case of ectopic cervical thymoma with myasthenia gravis mimicking a parathyroid tumour
title_short A case of ectopic cervical thymoma with myasthenia gravis mimicking a parathyroid tumour
title_sort case of ectopic cervical thymoma with myasthenia gravis mimicking a parathyroid tumour
topic 99mTc‐MIBI accumulation
cervical thymoma
myasthenia gravis
parathyroid tumour
url https://doi.org/10.1002/rcr2.1052
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