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Case reports

Thymoma appearing 10 years after an extended thymectomy for myasthenia gravis

^a Istanbul University, Istanbul Medical Faculty, Department of Thoracic Surgery, Istanbul, Turkey
^b Istanbul University, Istanbul Medical Faculty, Department of Pathology, Istanbul, Turkey
^c Istanbul University, Istanbul Medical Faculty, Department of Neurology, Istanbul, Turkey

Received 13 December 2007; received in revised form 11 February 2008; accepted 4 March 2008.

^_* Corresponding author. Address: Inonu Cad, Yildiz Sok. STFA Bloklari, B/6 Blok No: 13, 81090 Kozyatagi, Kadikoy, Istanbul, Turkey. (Email: aetoker{at}superonline.com).

Occurrence of thymoma after an extended thymectomy through a full median sternotomy for nonthymomatous thymectomy has been very rarely reported. A 60-year-old male patient who had myasthenia gravis (MG) for 11 years had an extended thymectomy operation with a pathology of thymic hyperplasia and developed a mass in the aortopulmonary window. We resected the mass via anterior left thoracotomy by dividing the ductus arteriosus and mobilizing the aorta. Cord vocal augmentation procedure was done due to the resection of the left recurrent laryngeal nerve.

Key Words: Thymoma • Extended thymectomy • Myasthenia gravis