Evidence map›Paper›PMID 27591911›Full record

ArticleInternational journal of surgery case reports2016

Thymic carcinoma with myasthenia gravis: Two case reports.

Nobuyasu Kurihara, Hajime Saito, Hiroshi Nanjo, Hayato Konno, Maiko Atari, Yoshitaro Saito, Satoshi Fujishima, Komei Kameyama, Yoshihiro Minamiya

Open access · goldAbstract read
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Article in International journal of surgery case reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.2field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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  7. Myasthenia Gravis Related to Thymic Carcinoma: A Case Study.The Thoracic and cardiovascular surgeon reports · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Nobuyasu KuriharaDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan. Electronic address: kurihara@gipc.akita-u.ac.jp.
Hajime SaitoDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Hiroshi NanjoDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Hayato KonnoDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Maiko AtariDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Yoshitaro SaitoDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Satoshi FujishimaDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Komei KameyamaDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Yoshihiro MinamiyaDepartment of Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Akita University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMyasthenia gravis (MG) has been reported to correlate with earlier-stage thymoma, and theoretically does not accompany thymic carcinoma. However, we encountered two cases of thymic carcinoma with MG. PRESENTATION OF CASES: Case 1 involved a 54-year-old man who had been diagnosed with MG based on symptoms and detection of anti-acetylcholine receptor antibody (ARAB). Computed tomography (CT) revealed an anterior mediastinal tumor 30mm in diameter. Prednisolone (PSL) and tacrolimus were administered without surgery at that time. Six years after diagnosis of MG, he was admitted to our hospital and underwent extended thymectomy. Pathological examination revealed type B2-B3 thymoma according to World Health Organization criteria, comprising 80% of the tumor with small cell carcinoma as 20%. Case 2 involved a 51-year-old woman. She had been diagnosed with MG based on eyelid ptosis and detection of ARAB. Ten years after diagnosis of MG, diaphragm elevation was detected on chest X-ray. CT revealed an anterior mediastinal tumor, 47mm in diameter. We suspected tumor invasion to the right phrenic nerve, right atrium, and superior vena cava. We therefore performed extended thymectomy after preoperative radiotherapy (40Gy). Pathological examination revealed squamous cell carcinoma. DISCUSSION: Most cases of thymic carcinomas appear to arise de novo, but appearance in thymomas has been described. In both our cases, MG was treated with pharmacotherapy alone without extended thymectomy, and thymic carcinoma was considered to have developed from the thymoma during long-term follow-up.

conclusionThymic carcinoma can accompany MG.

Indexed as

Myasthenia gravis,ThymectomyThymic carcinomaThymoma

Identifiers

PMID27591911
PMCPMC5021770
OpenAlexW2509818233

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.