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临床资料患者,男,47岁。因吞咽困难伴进食后胸骨后疼痛1个月入院。内镜及病理检查示食管中下段鳞癌,长约4 cm;胸腹部CT检查未见腹腔淋巴结及脏器转移。入院后发现双眼睑下垂,活动后加重,经CT(图1)及新斯的明试验检查诊断为胸腺瘤伴重症肌无力(眼肌型)。行左后外侧开胸
Clinical data patients, male, 47 years old. Due to dysphagia with post-sternal pain after 1 month admission. Endoscopic and pathological examination showed lower esophageal squamous cell carcinoma, about 4 cm long; no abdominal lymph nodes and visceral metastases were detected by CT examination of chest and abdomen. Double eyelid ptosis was found on admission and aggravated after activity. Thymoma with myasthenia gravis (ocular muscle type) was diagnosed by CT (Figure 1) and neostigmine test. Left lateral thoracotomy