Successful treatment of type B2 thymoma with steroid and radiotherapy.
Miho FujiwaraHiromi WatanabeYuki TakigawaMayu GodaKeisuke ShirahaTomoyoshi InoueSuzuka MatsuokaKenichiro KudoAkiko SatoKen SatoKeiichi FujiwaraTakuo ShibayamaPublished in: Respirology case reports (2024)
An 86-year-old woman with leg edema and dyspnea on exertion was admitted to our hospital. Chest computed tomography (CT) revealed a mass in the anterior mediastinum with pericardial invasion. Histological examination with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) led to the diagnosis of Masaoka stage IVa type B2 thymoma. For palliation, radiotherapy (32 Gy/16 fractions) and prednisolone (30 mg/day) were administered and tapered. After treatment, both the pericardial effusion and tumour size decreased. Combination therapy with steroids and radiotherapy may be effective for treating thymomas.
Keyphrases
- ultrasound guided
- combination therapy
- computed tomography
- early stage
- fine needle aspiration
- locally advanced
- radiation therapy
- radiation induced
- dual energy
- positron emission tomography
- image quality
- magnetic resonance imaging
- healthcare
- squamous cell carcinoma
- single cell
- rectal cancer
- myasthenia gravis
- cell migration