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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 22, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What’s your diagnosis?

    The patient also suffers from muscle weakness.

    I’ll post the correct answer in a few days!

    DDx.jpg
     

    Add Reply
    J.P.C. Peper, Aug 22, 2012
    #1

  2. lakmalDJ

    lakmalDJ Famous Member

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    this is most probably a thymoma causing Myasthenia Gravis
     

    lakmalDJ, Aug 22, 2012
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  3. ahmed talaaat

    ahmed talaaat Young Member

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    thymus gland malaginancy ???? age of patient pls .....
     

    ahmed talaaat, Aug 23, 2012
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  4. dracomalfoy

    dracomalfoy Famous Member

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    Thymoma
     

    dracomalfoy, Aug 23, 2012
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  5. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    It can be thymom...
     

    Emergency medicine Mike, Aug 23, 2012
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  6. bb100

    bb100 Bronze Member

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    This is an anterior mediastinal mass
    Possible diagnoses :thymoma, lymphoma, pheochromocytoma, teratoma, retrosternal thyroid nodul and parathyroid lesions
     

    bb100, Aug 25, 2012
    #6
  7. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Thymoma.

    The muscle weakness is explained by associated myastenia gravis (30% of thymoma patients have MG); in combination with the lokalisation, a thymoma is most likely. In 20% the tumor also shows calcification. Treatment: surgery and then chemotherapy based on the histological subtype and disease stage.
     

    J.P.C. Peper, Aug 25, 2012
    #7

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