Subxiphoid video-assisted thorascopic thymectomy for thymoma.

A 42-year-old male presented with an 8-month history of a thymic tumor associated with myasthenia gravis (MG) (Figure 1). The clinical stage was IIa according to the Myasthenia Gravis Foundation of America (MGFA), an electromyography (EMG) study was abnormal, and serum acetylcholine receptor (AChR) antibody testing was positive. The patient’s clinical state was stable on pyridostigmine bromide, three tablets daily, and medical history revealed no serious comorbidities (2). On computed tomography (CT) of the chest, a 37×33×27 mm well-encapsulated thymic tumour was found, with no signs of infiltration of the mediastinal structures. The treatment plan involved thymectomy without previous needle biopsy of the tumour.