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Thymic Disease

 

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The Thymus

The thymus is a lymphoid organ necessary for the development of our immune functions. It's located in the upper chest under the breastboneand is a rather soft, flattened, grayish-pink looking thing.

One of the most common conditions associated with disorders of the thymus is myasthenia gravis (MG), which carries with it a risk of developing either benign or malignant thymomas.

Thymomas are the most common type of tumor that occurs in the front of the mediastinum. Some thymomas can be removed, but in many instances, removal of the thymus (thymectomy) may be necessary.

Myasthenia Gravis (MG)

Myasthenia gravis (MG) is an autoimmune disorder that causes muscle fatigue from the effects of abnormal antibodies on nerve endings.

Because MG may be associated with various abnormalities of the thymus gland, physicians to recommend tthat the gland be removed using a surgical process called a thymectomy.

 

Thymectomy

Removal of the thymus can sometimes be done with a procedure called minimally invasive transcervical thymectomy. However, few centers in the world have the expertise necessary.

Transcervical thymectomy allows the complete removal of the thymus gland through a small incision in the neck rather than the open procedure that divides the breastbone.

During the procedure, we make a horizontal incision across the lower part of your neck. Then, a scope is inserted to let the surgeon see the thymus gland. A small drain is left in the incision for a couple of days.

This technique is associated with the least amount of pain and has the shortest recovery period. It is important to note that it may not be recommended for every patient. Some patients require thymectomy by the traditional route through the breastbone.

 

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