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Thymectomy is a treatment for myasthenia gravis, a neuromuscular disease. [5] For about 60% of people with myasthenia gravis, thymectomy significantly improves their symptoms of muscle weakness. In about 30% of cases, thymectomy results in permanent remission of myasthenia gravis, negating the need for any additional medication.
Myasthenia gravis affects 50 to 200 people per million. [3] [4] It is newly diagnosed in 3 to 30 people per million each year. [13] Diagnosis has become more common due to increased awareness. [13] Myasthenia gravis most commonly occurs in women under the age of 40 and in men over the age of 60. [1] [5] [14] It is uncommon in children. [1]
In contrast to myasthenia gravis, the weakness affects the legs more than the arms. This leads to difficulties climbing stairs and rising from a sitting position. Weakness is often relieved temporarily after exertion or physical exercise. High temperatures can worsen the symptoms.
Thymectomy is the surgical removal of the thymus. [2] The usual reason for removal is to gain access to the heart for surgery to correct congenital heart defects in the neonatal period. [27] Other indications for thymectomy include the removal of thymomas and the treatment of myasthenia gravis. [2]
Most patients present with an immunodeficient state and recurrent sinopulmonary infections in their 4th or 5th decade of life. The immunodeficiency may occur before or after the diagnosis of a thymoma. [4] Immunodeficiency involves both deficient humoral and cellular immunity. Patients have low total serum antibodies.
A study found that slightly over 40% of observed patients with stage III and IV tumors survived for at least 10 years after diagnosis. The median age of these patients at the time of thymoma diagnosis was 57 years. [10] Patients who have undergone thymectomy for thymoma should be warned of possible severe side effects after yellow fever ...
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