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A 24-year-old member asked:

how do you diagnose a thymoma?

3 doctor answers9 doctors weighed in
Dr. Murthy Andavolu
Hematology and Oncology 32 years experience
Scan and biopsy: A ct scan should show the swelling and a biopsy should confirm it.
Dr. Jess Schwartz
Thoracic Surgery 28 years experience
Myasthenia gravis: Often thymomas present as a result of an associate disease call myasthenia gravis (mg). Mg is classically diagnosed with symptoms that begin with ocular weakness leading to blurry vision. This can progress to "bulbar" symptoms which involve your ability to swallow and further more it can lead to generalize body muscle weakness. These symptoms can be a tip off that a pt may indeed also have a thymoma.
Dr. Thomas Birdas
Thoracic Surgery 26 years experience
Imaging +/- biopsy: Chest ct scan is the main modality. Additional tests can be used and occasionally a needle biopsy may be needed. Frequently the diagnosis is confirmed only after resection.

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A 41-year-old member asked:

Can thymoma spread via the lymph nodes?

3 doctor answers8 doctors weighed in
Dr. Jess Schwartz
Thoracic Surgery 28 years experience
Very unlikely: Thymomas rarely spread via lymph nodes. Most often they spread by direct extention into other organs or by "drop" metastasis into the pleural or pericardial cavities.
A 39-year-old member asked:

What are the tests for thymoma?

3 doctor answers8 doctors weighed in
Dr. John Goldman
Rheumatology 55 years experience
Lab, imaging and bio: Ct imaging can help the environment, both location and size. Blood tests are used to help clarify its presence, and look for associations with myasthenia gravis. Testing that can done and include test to see for associations to myasthenia gravis, that include antibodies to acetylcholine receptor, blood counts, chemical panels looking at liver and kidney, immune evaluation of the cells inside.
A 44-year-old member asked:

What is the treatment for thymoma?

4 doctor answers13 doctors weighed in
Dr. John Goldman
Rheumatology 55 years experience
Depends clinical set: This depends on the clinical setting. Sometimes you may need surgical excision, especially if concerned about malignancy. Biopsies can be done. But surgery is the usual approach. Depending on the spread even chemotherapy is indicated. It is associated with myasthenia gravis at times. At times removal can cure the myasthenia gravis.
A 33-year-old member asked:

What are the symptoms of thymoma?

4 doctor answers13 doctors weighed in
Dr. John Goldman
Rheumatology 55 years experience
May be none: Up to half of people can have no symptoms. It can be found by accident when a chest film or ct scan is performed and a mass is found.Since it is the middle of the chest and if it grows large it can cause compression symptoms such as trouble swallowing or chest pain. It is looked for with certain diseases: myathenia gravis and can be associated with connective tissue and autoimmune diseases.
A 34-year-old member asked:

How fast does a thymoma grow?

3 doctor answers3 doctors weighed in
Dr. SAMAR GUPTA
Internal Medicine 21 years experience
Slow: Slow - slow.

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Last updated Oct 3, 2016

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