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52-year-old Ningbo native Li Shu (pseudonym)
It's a "work hard" that can't be spared
He has been doing business by himself
Two years ago, I felt a little "something wrong" in my body
First, the right eyelid drooped down
Then there is a mouthful of mouth ulcers
Later, it even enlarges the tongue with difficulty swallowing
Go to the ophthalmology, dentistry, and ear nose and throat department for help
His problem is getting worse
Even in the evening
I can’t open my eyes, my chest is dull, and my body is weak.
What kind of "weird disease" is this?
The anxious family brought him here
First Affiliated Hospital of Zhejiang University School of Medicine
In the first-phase general thoracic surgery specialist clinic at the headquarters
Uncle Li was diagnosed as "myasthenia gravis with thymoma"
diagnosisWhat kind of tumor is thymoma?
Why are there these strange complications above?
Is it difficult to treat?
Uncomfortable eyes and mouth
The culprit was a chest tumor
The 52-year-old Uncle Li is from Ninghai, Ningbo.
But from 2019 onwards, Uncle Li, who has always been strong, no longer has his "hard mouth".
The face-saving Uncle Li went to the local hospital alone.
Tonic did not make Uncle Li feel better.
Later, Uncle Li went to a hospital in Ningbo, where various causes were also speculated and mentioned by doctors, such as cerebral infarction, cervical spine hyperplasia, and MRI of the brain and head and neck.
In the Department of Neurology, Uncle Li was diagnosed as "myasthenia gravis.
"You are very likely to have a thymoma with myasthenia gravis.
What kind of tumor is thymoma,
Why it causes muscle weakness
According to Deputy Chief Physician Jin Chenghua, patients with thymoma with myasthenia gravis have clear indications for surgical resection of thymoma.
Uncle Li's condition is diagnosed and surgery is imminent.
Under the leadership of Chief Physician Tu Zhengliang, Deputy Director of General Thoracic Surgery (in charge of the work), the department invited experts from neurology, anesthesiology and other related departments, after detailed multidisciplinary discussions, and full communication with patients and family members, carefully designed Comprehensive treatment plan during surgery.
On February 2nd, after a period of medical treatment for Uncle Li, the symptoms of myasthenia gravis were significantly relieved.
Uncle Li successfully pulled out the drainage tube of his chest two days after the operation and was discharged from the hospital smoothly.
image
Huge thymoma resected
According to experts, the thymus is located behind the breastbone and in front of the heart.
immunity
The incidence of thymoma is about 0.
child
The cause of thymoma is currently inconclusive and may be related to genetic inheritance.
Thymoma without myasthenia
Also be very careful
According to Chief Physician Tu Zhengliang, because the thymus is an immune organ, thymoma may cause immune dysfunction at the same time, which may lead to autoimmune diseases in some patients with thymoma.
In addition to the common myasthenia gravis, there is simple red blood cell regeneration.
Obstructive anemia, hypoglobulinemia, thrombocytopenic purpura, nephritic nephrotic syndrome, dermatomyositis, systemic lupus erythematosus, pulmonary interstitial fibrosis, etc.
About one-third of patients with thymoma will be accompanied by myasthenia gravis; and more than two-thirds of patients with myasthenia gravis will have thymic hyperplasia, and nearly one-third will be accompanied by thymoma.
Symptoms of myasthenia gravis include drooping eyelids, double vision, drooling, difficulty climbing stairs, hoarseness, and difficulty breathing.
"When there is an inexplicable drooping eyelid, general fatigue, etc.
, the patient should be screened for thymoma in time.
" Tu Zhengliang introduced, the Department of General Thoracic Surgery of Zhejiang University First Hospital, as the leading department in Zhejiang Province, is treating thymoma and various chest tumors.
????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? He has rich clinical experience.
At present, in the First Hospital of Zhejiang University, most of the thymoma can be completely thymectomy through minimally invasive surgery through the inferior xiphoid approach.
The postoperative pain is light, the recovery is quick, and the treatment effect is good.
And patients with thymoma who have not developed myasthenia gravis should be especially careful.
Thymomas are malignant tumors.
The biological behavior of most thymoma is relatively inert, but a few are highly malignant, and may invade adjacent tissues or even metastasize when the tumor is small.
Ordinary lung CT can detect early thymoma and deal with it in time.
When severe chest pain occurs, symptoms get worse in a short period of time, severe irritating cough, and body-related bone pain all indicate the possibility of malignant thymoma, and you must hurry up to seek medical treatment!
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