2021 Volume 35 Issue 5 Pages 590-595
An asymptomatic 70-year-old woman had undergone an extended thymectomy 13 years previously, and video-assisted left pleurectomy was performed for the disseminations of thymoma. Four months after discharge, she presented with persistent diarrhea. Colonoscopy revealed geographic ulcerative lesions from the cecum to ascending colon. A biopsy specimen showed inclusion bodies in the cell nuclei. Laboratory studies showed hypogammaglobulinemia. A diagnosis of Good's syndrome was established after the onset of cytomegalovirus enteritis. Preoperative evaluation of the immune status for recurrent thymoma should be conducted because the patients may have subclinical immunodeficiency.
