关键词: Myaesthenia gravis Thymolipoma Thymus Thyroid Thyrolipomatosis

Mesh : Adult Humans Lipoma / diagnosis pathology surgery Lipomatosis / diagnosis pathology surgery Male Myasthenia Gravis / etiology therapy Prednisolone / therapeutic use Pyridostigmine Bromide / therapeutic use Thymectomy Thymus Gland / diagnostic imaging pathology surgery Thymus Neoplasms / diagnosis pathology surgery Thyroid Diseases / diagnosis pathology surgery Thyroid Gland / diagnostic imaging pathology surgery Thyroidectomy Tomography, X-Ray Computed Treatment Outcome

来  源:   DOI:10.1308/rcsann.2020.7089   PDF(Pubmed)

Abstract:
We present a case of a man with a background of myasthenia gravis who presented with a neck lump, which was diagnosed as thyrolipomatosis in continuity with a very large thymolipoma. Following removal of these lesions, the patient\'s myaesthenic symptoms improved. While thymolipomas are often seen in the context of myasthenia gravis, thyrolipomatosis is a rare entity and to our knowledge the concurrent finding of both lesions with myasthenia gravis has never been reported. We highlight the important imaging features of both entities and the clinical importance of recognising them.
摘要:
我们介绍了一个有重症肌无力背景的男性,他有一个颈部肿块,被诊断为甲状腺脂肪瘤病,并伴有非常大的胸腺脂肪瘤。切除这些病变后,患者的症状有所改善。虽然胸腺脂肪瘤常见于重症肌无力的背景下,甲状腺脂瘤病是一种罕见的疾病,据我们所知,这两种病变与重症肌无力的同时发现从未被报道过.我们强调了两个实体的重要成像特征以及识别它们的临床重要性。
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