centered image

centered image

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

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,245
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands

    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

    Joined:
    Jun 21, 2012
    Messages:
    223
    Likes Received:
    17
    Trophy Points:
    445
    Gender:
    Male
    Occupation:
    doctor
    Practicing medicine in:
    Sri Lanka
    this is most probably a thymoma causing Myasthenia Gravis
     

    lakmalDJ, Aug 22, 2012
    #2
  3. ahmed talaaat

    ahmed talaaat Young Member

    Joined:
    Aug 23, 2012
    Messages:
    1
    Likes Received:
    0
    Trophy Points:
    5
    Practicing medicine in:
    Egypt
    thymus gland malaginancy ???? age of patient pls .....
     

    ahmed talaaat, Aug 23, 2012
    #3
  4. dracomalfoy

    dracomalfoy Famous Member

    Joined:
    Jun 26, 2012
    Messages:
    130
    Likes Received:
    10
    Trophy Points:
    445
    Practicing medicine in:
    England
    Thymoma
     

    dracomalfoy, Aug 23, 2012
    #4
  5. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

    Joined:
    Jul 28, 2012
    Messages:
    839
    Likes Received:
    38
    Trophy Points:
    1,245
    Gender:
    Male
    Practicing medicine in:
    Czech Republic
    It can be thymom...
     

    Emergency medicine Mike, Aug 23, 2012
    #5
  6. bb100

    bb100 Bronze Member

    Joined:
    Jun 7, 2012
    Messages:
    450
    Likes Received:
    54
    Trophy Points:
    845
    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

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,245
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands
    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

Share This Page

<