Abstract | BACKGROUND: CASE PRESENTATION: A 60-year-old woman had a complaint of rapid progression of alopecia areata. A hair follicular biopsy was performed, which showed the infiltration of CD8-positive lymphocytes. She was prescribed topical steroids for 2 months prior to surgery, but her hair loss was not improved. Screening computed tomography showed a mass in the anterior mediastinum, which was suspected to be a thymoma. Myasthenia gravis was ruled out because she had no relevant symptoms or physical findings, and no anti- acetylcholine receptor antibodies were detected in serum. We performed a transsternal extended thymectomy based on a diagnosis of thymoma Masaoka stage I, without myasthenia gravis. Pathological examination showed Type AB thymoma, Masaoka stage II. The chest drainage tube was removed on postoperative day 1, and the patient was discharged on postoperative day 6. The patient has continued topical steroids and showed improvement 2 months postoperatively. CONCLUSIONS:
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Authors | Yukino Saito, Tomohiro Yazawa, Toshiteru Nagashima, Yoichi Ohtaki, Natsuko Kawatani, Eiji Narusawa, Ryohei Yoshikawa, Nozomi Matsumura, Tatsuro Maehara, Ken Shirabe |
Journal | Surgical case reports
(Surg Case Rep)
Vol. 9
Issue 1
Pg. 68
(May 03 2023)
ISSN: 2198-7793 [Print] Germany |
PMID | 37133711
(Publication Type: Journal Article)
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Copyright | © 2023. The Author(s). |