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Xu Y, Wang L, Chen Z, Zhang Q, Shen Y, Ye Y, Liu J, Zhang H. Thymoma with immunodeficiency, combined diffuse panbronchiolitis, and latent autoimmune diabetes in adults- case report and systematic review. J Transl Autoimmun 2024; 8:100230. [PMID: 38188041 PMCID: PMC10765483 DOI: 10.1016/j.jtauto.2023.100230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 12/11/2023] [Accepted: 12/22/2023] [Indexed: 01/09/2024] Open
Abstract
Thymoma with Immunodeficiency (Good's Syndrome, GS) is a rare association between thymoma and immunodeficiency, first described over 60 years ago. Patients with GS typically present with thymomas, reduced or absent B cells in the peripheral blood, hypogammaglobulinemia, and defects in cell-mediated immunity. We report the case of a 67-year-old woman diagnosed with GS following the development of a progressive, severe, refractory pulmonary infection and diffuse panbronchiolitis (DPB). She also had diabetes, characterized by anti-glutamic acid decarboxylase antibody positivity, leading to a diagnosis of latent autoimmune diabetes in adults (LADA). A thorough review of existing literature revealed that GS is often confirmed after multiple episodes of opportunistic infections or autoimmune diseases post-thymoma surgery. Due to their immunodeficiency, GS patients frequently suffer from recurrent infections over extended periods, and some succumb to severe infections. Regular immunoglobulin infusions may be effective in treating GS.
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Affiliation(s)
- Yijiao Xu
- Zhongshan Hospital (Xiamen), Fudan University, 361015, China
| | - Lumin Wang
- Zhongshan Hospital (Xiamen), Fudan University, 361015, China
| | - Zhisheng Chen
- Zhongshan Hospital (Xiamen), Fudan University, 361015, China
| | - Qingwei Zhang
- Zhongshan Hospital (Xiamen), Fudan University, 361015, China
| | - Yun Shen
- Zhongshan Hospital (Xiamen), Fudan University, 361015, China
- Zhongshan Hospital, Fudan University, 200032, China
| | - Yanrong Ye
- Zhongshan Hospital (Xiamen), Fudan University, 361015, China
- Zhongshan Hospital, Fudan University, 200032, China
| | - Jiaxin Liu
- Zhongshan Hospital (Xiamen), Fudan University, 361015, China
| | - Huijun Zhang
- Zhongshan Hospital (Xiamen), Fudan University, 361015, China
- Zhongshan Hospital, Fudan University, 200032, China
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Wasim Jamal SM, Hussein M, Albakri M, Rasheed I, Hameed M, Ul Haq I, Thomas M, Al Bozom I, Abdul Sattar H. Primary intrapulmonary thymoma a case report. Clin Case Rep 2023; 11:e6897. [PMID: 37720714 PMCID: PMC10502198 DOI: 10.1002/ccr3.6897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 01/05/2023] [Accepted: 01/07/2023] [Indexed: 09/19/2023] Open
Abstract
Primary intrapulmonary thymoma (PIT), defined as the presence of thymoma tissue in the lung without an accompanying mediastinal component, is uncommon and so offers a diagnostic quandary. We describe the case of PIT in an 81-year-old man.
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Affiliation(s)
- Sheikh Muhammad Wasim Jamal
- Hazm Mebaireek Hospital, Hamad Medical CorporationDohaQatar
- Weill Cornell Medicine‐QatarCornell UniversityAr‐RayyanQatar
| | - Mousa Hussein
- Hamad General Hospital, Hamad Medical CorporationDohaQatar
| | - Mutaz Albakri
- Hamad General Hospital, Hamad Medical CorporationDohaQatar
| | - Ibrahim Rasheed
- Weill Cornell Medicine‐QatarCornell UniversityAr‐RayyanQatar
- Hamad General Hospital, Hamad Medical CorporationDohaQatar
| | - Mansoor Hameed
- Weill Cornell Medicine‐QatarCornell UniversityAr‐RayyanQatar
- Hamad General Hospital, Hamad Medical CorporationDohaQatar
| | - Irfan Ul Haq
- Weill Cornell Medicine‐QatarCornell UniversityAr‐RayyanQatar
- Hamad General Hospital, Hamad Medical CorporationDohaQatar
| | - Merlin Thomas
- Weill Cornell Medicine‐QatarCornell UniversityAr‐RayyanQatar
- Hamad General Hospital, Hamad Medical CorporationDohaQatar
| | - Issam Al Bozom
- Weill Cornell Medicine‐QatarCornell UniversityAr‐RayyanQatar
- Hamad General Hospital, Hamad Medical CorporationDohaQatar
| | - Hisham Abdul Sattar
- Weill Cornell Medicine‐QatarCornell UniversityAr‐RayyanQatar
- Hamad General Hospital, Hamad Medical CorporationDohaQatar
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Gong L, Li YH, He XL, Wang Q, Yao L, Zhu SJ, Han XJ, Wu T, Yuan J, Zhang W. Primary Intrapulmonary Thymomas: Case Report and Review of the Literature. J Int Med Res 2009; 37:1252-7. [PMID: 19761712 DOI: 10.1177/147323000903700434] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Primary intrapulmonary thymomas (PIT), which are intrapulmonary tumours without an associated mediastinal component, are very rare; only 29 cases of PIT have been described in the literature since 1951. This report presents a case of PIT in a 59-year old Chinese woman with a type A thymoma (including its pathogenesis, clinical pathological characteristics, immunological phenotype, treatment and prognosis), in the context of a review of the current literature. The origin of thymomas in this unusual location remains unknown. In this case, immunohistochemical analysis demonstrated that the epithelial component was strongly positive for cytokeratin and focally reactive for epithelial membrane antigen. It is concluded that PIT should be considered when the histopathological appearance of a lung tumour is not typical of other pulmonary neoplasms. Complete resection appears sufficient in non-malignant tumours, while in cases of partial resection or malignancy, adjuvant radiotherapy should be considered. Long-term regular clinical follow-up is also warranted, due to the risk of late local recurrence.
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Affiliation(s)
- L Gong
- Department of Pathology, Tangdu Hospital, The Fourth Military Medical University, Shaanxi Xi'an, China
| | - Y-H Li
- Department of Gynaecology and Obstetrics, Tangdu Hospital, The Fourth Military Medical University, Shaanxi Xi'an, China
| | - X-L He
- Department of General Surgery, Tangdu Hospital, The Fourth Military Medical University, Shaanxi Xi'an, China
| | - Q Wang
- Department of General Surgery, Tangdu Hospital, The Fourth Military Medical University, Shaanxi Xi'an, China
| | - L Yao
- Department of Pathology, Tangdu Hospital, The Fourth Military Medical University, Shaanxi Xi'an, China
| | - S-J Zhu
- Department of Pathology, Tangdu Hospital, The Fourth Military Medical University, Shaanxi Xi'an, China
| | - X-J Han
- Department of Pathology, Tangdu Hospital, The Fourth Military Medical University, Shaanxi Xi'an, China
| | - T Wu
- Department of General Surgery, Tangdu Hospital, The Fourth Military Medical University, Shaanxi Xi'an, China
| | - J Yuan
- Department of Pathology, Tangdu Hospital, The Fourth Military Medical University, Shaanxi Xi'an, China
| | - W Zhang
- Department of Pathology, Tangdu Hospital, The Fourth Military Medical University, Shaanxi Xi'an, China
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