Última revisão: 4 Fev 2021
Última atualização: 06 GUA 2020

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • miastenia gravis
  • fraqueza muscular
  • edema facial e de membros superiores
  • pletora facial
  • veias dilatadas no pescoço e parede torácica e/ou abdominal
  • edema no braço esquerdo

Fatores de risco

  • história de miastenia gravis
  • idade >45 anos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • radiografia torácica
  • tomografia computadorizada (TC) do tórax com meio de contraste intravenoso

Investigações a serem consideradas

  • ressonância nuclear magnética (RNM) do tórax
  • biópsia tecidual
  • anticorpos contra o receptor da acetilcolina
  • Hemograma completo

Novos exames

  • tomografia por emissão de pósitrons/tomografia computadorizada (PET/TC)

Algoritmo de tratamento

Colaboradores

Clinical Assistant Professor of Cardiothoracic Surgery

Division of Thoracic Surgery

Stanford University School of Medicine

Stanford

CA

Declarações

DZL declares that he has no competing interests.

Professor of Cardiothoracic Surgery

Chief, Division of Thoracic Surgery

Medical Director, Thoracic Oncology CCP

Stanford University School of Medicine / Stanford Cancer Institute

Stanford

CA

Declarações

JBS declares that he has no competing interests.

Dr Douglas Z. Liou and Dr Joseph B. Shrager would like to gratefully acknowledge Dr Tracey Evans, Dr Nicholas Choong, Dr Mario Gasparri, and Dr Cameron Wright, previous contributors to this topic.

Declarações

TE has received consultancy fees from Genentech and Celgene. She is a board member of Wissahickon Hospice. Educational events include an annual thoracic educational series sponsored by Imedex. NC and MG declare that they have no competing interests. CW is an author of a number of references cited in this topic.

RevisoresVER TUDO

Professor of Surgery

Division of Cardiothoracic Surgery

Department of Surgery

Indiana University School of Medicine

Indianapolis

IN

Declarações

KK declares that he has no competing interests.

Assistant Attending Surgeon

Thoracic Service

Memorial Sloan-Kettering Cancer Center

New York

NY

Declarações

JH is an author of a number of references cited in this topic.

Associate Professor

Thoracic Surgery

University of Torino

Torino

Italy

Declarações

ER is an author of a reference cited in this topic.

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