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Thymoma

MedGen UID:
52743
Concept ID:
C0040100
Neoplastic Process
Synonym: Thymomas
SNOMED CT: Thymoma (444231005); Thymoma (1187428006)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
Concept ID:
CN307044
Finding
Source: Orphanet
clinical entity without genetic inheritance.
 
HPO: HP:0100522
Monarch Initiative: MONDO:0006456
Orphanet: ORPHA99867

Definition

A tumor originating from the epithelial cells of the thymus. [from HPO]

Conditions with this feature

Myasthenia gravis
MedGen UID:
7764
Concept ID:
C0026896
Disease or Syndrome
Myasthenia gravis (MG) is an autoimmune disease in which antibodies bind to acetylcholine receptors or to functionally related molecules in the postsynaptic membrane at the neuromuscular junction. The antibodies induce weakness of skeletal muscles, which is the sole disease manifestation. The weakness can be generalized or localized, is more proximal than distal, and nearly always includes eye muscles, with diplopia and ptosis. The pattern of involvement is usually symmetric, apart from the eye involvement, which is often markedly asymmetric and involves several eye muscles. The weakness typically increases with exercise and repetitive muscle use (fatigue) and varies over the course of a day and from day to day, often with nearly normal muscle strength in the morning (summary by Gilhus, 2016).
Polyglandular autoimmune syndrome, type 2
MedGen UID:
39126
Concept ID:
C0085860
Disease or Syndrome
Autoimmune polyendocrine syndrome type II (APS2), or Schmidt syndrome, is characterized by the presence of autoimmune Addison disease in association with either autoimmune thyroid disease or type I diabetes mellitus, or both. Chronic candidiasis is not present. APS2 may occur at any age and in both sexes, but is most common in middle-aged females and is very rare in childhood (summary by Betterle et al., 2004). See 240300 for a phenotypic description of autoimmune polyendocrine syndrome type I (APS1).
Myasthenia, limb-girdle, autoimmune
MedGen UID:
331795
Concept ID:
C1834635
Disease or Syndrome
Thymoma, familial
MedGen UID:
376447
Concept ID:
C1848814
Neoplastic Process
Thymomas are low-grade epithelial cancers of the thymus. Familial occurrence of thymoma is rare.

Professional guidelines

PubMed

Tannemaat MR, Huijbers MG, Verschuuren JJGM
Handb Clin Neurol 2024;200:283-305. doi: 10.1016/B978-0-12-823912-4.00026-8. PMID: 38494283
Gilhus NE, Andersen H, Andersen LK, Boldingh M, Laakso S, Leopoldsdottir MO, Madsen S, Piehl F, Popperud TH, Punga AR, Schirakow L, Vissing J
Eur J Neurol 2024 May;31(5):e16229. Epub 2024 Feb 6 doi: 10.1111/ene.16229. PMID: 38321574Free PMC Article
Singh G, Rumende CM, Amin Z
Acta Med Indones 2011 Jan;43(1):74-8. PMID: 21339550

Curated

NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®), Thymomas and Thymic Carcinomas, 2023

Recent clinical studies

Etiology

Huan X, Ruan Z, Zhao R, Su M, Ning F, Zou Z, Tan S, Luo L, Yang S, Shi J, Liu Y, Jiang Q, Xi J, Chang T, Luo S, Zhao C; Pan-Yangtze River Delta Alliance for Neuromuscular Disorders (PYDAN)
Neuromuscul Disord 2023 Oct;33(10):782-787. Epub 2023 Sep 22 doi: 10.1016/j.nmd.2023.09.005. PMID: 37783628
Muto Y, Okuma Y
Expert Rev Anticancer Ther 2022 Apr;22(4):401-413. Epub 2022 Apr 4 doi: 10.1080/14737140.2022.2052278. PMID: 35266421
Oflazer P
Acta Myol 2020 Dec;39(4):302-306. Epub 2020 Dec 1 doi: 10.36185/2532-1900-033. PMID: 33458585Free PMC Article
Marom EM
J Thorac Imaging 2013 Mar;28(2):69-80; quiz 81-3. doi: 10.1097/RTI.0b013e31828609a0. PMID: 23422781
Masaoka A, Yamakawa Y, Niwa H, Fukai I, Saito Y, Tokudome S, Nakahara K, Fujii Y
Eur J Cardiothorac Surg 1994;8(5):251-3. doi: 10.1016/1010-7940(94)90155-4. PMID: 8043287

Diagnosis

Rodrigues C
Port J Card Thorac Vasc Surg 2023 Jul 7;30(2):9. doi: 10.48729/pjctvs.375. PMID: 37418760
Weissferdt A, Moran CA
Pathol Res Pract 2023 May;245:154459. Epub 2023 Apr 8 doi: 10.1016/j.prp.2023.154459. PMID: 37043966
Chatterjee D, Finch CJ
Arch Pathol Lab Med 2015 Aug;139(8):1068-70. doi: 10.5858/arpa.2013-0695-RS. PMID: 26230602
Marom EM
J Thorac Imaging 2013 Mar;28(2):69-80; quiz 81-3. doi: 10.1097/RTI.0b013e31828609a0. PMID: 23422781
Wright CD
Crit Rev Oncol Hematol 2008 Feb;65(2):109-20. Epub 2007 Jun 14 doi: 10.1016/j.critrevonc.2007.04.005. PMID: 17570676

Therapy

Muto Y, Okuma Y
Expert Rev Anticancer Ther 2022 Apr;22(4):401-413. Epub 2022 Apr 4 doi: 10.1080/14737140.2022.2052278. PMID: 35266421
Sato J, Satouchi M, Itoh S, Okuma Y, Niho S, Mizugaki H, Murakami H, Fujisaka Y, Kozuki T, Nakamura K, Nagasaka Y, Kawasaki M, Yamada T, Machida R, Kuchiba A, Ohe Y, Yamamoto N
Lancet Oncol 2020 Jun;21(6):843-850. doi: 10.1016/S1470-2045(20)30162-5. PMID: 32502444
Chen F, Zou Z, Du J, Su S, Shao J, Meng F, Yang J, Xu Q, Ding N, Yang Y, Liu Q, Wang Q, Sun Z, Zhou S, Du S, Wei J, Liu B
J Clin Invest 2019 May 1;129(5):2056-2070. Epub 2019 Mar 5 doi: 10.1172/JCI99538. PMID: 30835255Free PMC Article
Giaccone G, Kim C, Thompson J, McGuire C, Kallakury B, Chahine JJ, Manning M, Mogg R, Blumenschein WM, Tan MT, Subramaniam DS, Liu SV, Kaplan IM, McCutcheon JN
Lancet Oncol 2018 Mar;19(3):347-355. Epub 2018 Jan 26 doi: 10.1016/S1470-2045(18)30062-7. PMID: 29395863Free PMC Article
Ahmad U, Huang J
Thorac Surg Clin 2016 Aug;26(3):325-32. doi: 10.1016/j.thorsurg.2016.04.011. PMID: 27427527

Prognosis

Uzawa A, Suzuki S, Kuwabara S, Akamine H, Onishi Y, Yasuda M, Ozawa Y, Kawaguchi N, Kubota T, Takahashi MP, Suzuki Y, Watanabe G, Kimura T, Sugimoto T, Samukawa M, Minami N, Masuda M, Konno S, Nagane Y, Utsugisawa K
BMC Neurol 2024 Apr 25;24(1):139. doi: 10.1186/s12883-024-03644-w. PMID: 38664714Free PMC Article
Gleich GJ, Klion AD, Lee JJ, Weller PF
Allergy 2013 Jul;68(7):829-35. Epub 2013 Jun 6 doi: 10.1111/all.12169. PMID: 23742015Free PMC Article
Wright CD
Crit Rev Oncol Hematol 2008 Feb;65(2):109-20. Epub 2007 Jun 14 doi: 10.1016/j.critrevonc.2007.04.005. PMID: 17570676
Maher MM, Shepard JA
Semin Thorac Cardiovasc Surg 2005 Spring;17(1):12-9. doi: 10.1053/j.semtcvs.2004.12.003. PMID: 16104356
Masaoka A, Yamakawa Y, Niwa H, Fukai I, Saito Y, Tokudome S, Nakahara K, Fujii Y
Eur J Cardiothorac Surg 1994;8(5):251-3. doi: 10.1016/1010-7940(94)90155-4. PMID: 8043287

Clinical prediction guides

Zhang X, Zeng B, Zhu H, Ma R, Yuan P, Chen Z, Su C, Liu Z, Yao X, Lawrence A, Liu Z, Zou J
Int J Biol Sci 2023;19(14):4442-4456. Epub 2023 Aug 21 doi: 10.7150/ijbs.83468. PMID: 37781041Free PMC Article
Chen F, Zou Z, Du J, Su S, Shao J, Meng F, Yang J, Xu Q, Ding N, Yang Y, Liu Q, Wang Q, Sun Z, Zhou S, Du S, Wei J, Liu B
J Clin Invest 2019 May 1;129(5):2056-2070. Epub 2019 Mar 5 doi: 10.1172/JCI99538. PMID: 30835255Free PMC Article
Kalhor N, Moran CA
Oncology (Williston Park) 2012 Oct;26(10):975-81. PMID: 23176011
Venuta F, Rendina EA, Anile M, de Giacomo T, Vitolo D, Coloni GF
Gen Thorac Cardiovasc Surg 2012 Jan;60(1):1-12. Epub 2012 Jan 13 doi: 10.1007/s11748-011-0814-0. PMID: 22237733
Masaoka A, Yamakawa Y, Niwa H, Fukai I, Saito Y, Tokudome S, Nakahara K, Fujii Y
Eur J Cardiothorac Surg 1994;8(5):251-3. doi: 10.1016/1010-7940(94)90155-4. PMID: 8043287

Recent systematic reviews

Al-Chalabi M, Hegde P, Moore SR, Abouainain Y, Keener M, Parvez H, Eid J, Saleem S, Sheikh A
J Clin Neuromuscul Dis 2023 Dec 1;25(2):94-106. doi: 10.1097/CND.0000000000000460. PMID: 37962197
Falkson CB, Vella ET, Ellis PM, Maziak DE, Ung YC, Yu E
J Thorac Oncol 2023 Mar;18(3):299-312. Epub 2022 Nov 4 doi: 10.1016/j.jtho.2022.10.016. PMID: 36343922
Berghmans T, Durieux V, Holbrechts S, Jungels C, Lafitte JJ, Meert AP, Moretti L, Ocak S, Roelandts M, Girard N
Lung Cancer 2018 Dec;126:25-31. Epub 2018 Oct 18 doi: 10.1016/j.lungcan.2018.10.018. PMID: 30527189
Giannopoulou A, Gkiozos I, Harrington KJ, Syrigos KN
Expert Rev Anticancer Ther 2013 Jun;13(6):759-66. doi: 10.1586/era.13.54. PMID: 23773107
Detterbeck FC, Zeeshan A
Chin Med J (Engl) 2013;126(11):2186-91. PMID: 23769581

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NCCN, 2023
      NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®), Thymomas and Thymic Carcinomas, 2023

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