Neoadjuvant chemotherapy enabling resection of stage IVA thymoma with myasthenia gravis and systemic lupus erythematosus: a case report - Takeaways - MDSpire

Neoadjuvant chemotherapy enabling resection of stage IVA thymoma with myasthenia gravis and systemic lupus erythematosus: a case report

  • By

  • Carlos A. Cedeno

  • Edgardo Santiago

  • Alex R. Cedeño

  • Jean Lafontaine

  • Maria J. Marcos

  • Omar Concepción

  • July 16, 2026

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  • 1

    Thymomas are rare tumors of the anterior mediastinum often associated with autoimmune diseases like myasthenia gravis and systemic lupus erythematosus.

  • 2

    A 32-year-old woman with stage IVA thymoma, myasthenia gravis, and systemic lupus erythematosus underwent neoadjuvant chemotherapy.

  • 3

    Neoadjuvant therapy resulted in significant clinical improvement and marked radiographic tumor regression in the patient.

  • 4

    The patient successfully underwent surgical resection with negative margins, confirming predominantly type B3 thymoma.

  • 5

    Postoperative radiotherapy was administered, and the patient achieved complete resolution of myasthenia gravis symptoms with no disease recurrence.

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