This is 30 year old UAE man who works as a policeman. During routine medical checkup chest x-ray showed left anterior mediastinal mass.
Chest x-ray: P-A view, lateral view
CT scan chest showed: Homegenously opaque
single round mass with sharp borders.
CT scan chest:
On removal, there was clear line of cleavage between the mass and the surroundings.
Histopathology report was:
One year later the patient complained that he is not able to elevate his eye lids and shoulders in the afternoon time. He was referred to the neurologist who considered him as a case of:
Although serum anti- Acetyl Choline Receptors (AChR) antibodies was negative ( it is positive in 80% of the cases MG), they have put him on:
R/ mestinon tab 60 mg t.d.s.
He improved well and maintained on that medication.
Chest x-ray after 11 month of surgery: P-A view