A case of surgically treated Good syndrome
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概要
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A 49-year-old woman presented with an anterior mediastinal tumor. Based on the presence of hypogammaglobulinemia, Good syndrome was diagnosed. The patient was referred to our hospital to evaluate the possibility of surgical treatment. We planned surgical treatment with the perioperative supplementation of gammaglobulin to preventperioperative infectious complications. Extended thymo-thymomectomy was performed. Pathological examination revealed type AB thymoma. Indications for surgical treatment in patients with Good syndrome remain controversial. However, surgical treatment is feasible if careful perioperative evaluation and management is undertaken.