@article{oai:nagasaki-u.repo.nii.ac.jp:00021882, author = {Tomita, Masao and Ayabe, Hiroyoshi and Awahara, Katsunobu and Kimino, Koji and Tsuji, Hirohara and Oka, Tadayuki and Sha, Kamei}, issue = {2-4}, journal = {Acta medica Nagasakiensia}, month = {Dec}, note = {The effect of thymectomy on elimination of a myasthenic symptom was clinically evaluated. The operative approach was primarily extended thymectmy of choice via midsternotomy in all but one of transcervical approaches. Most of them belonged to Osserman II b and II a of the disease type. Thirteen cases were in combination with thymoma and thirty-five were not in combination. Thymectomy yields a 53.8% effectiveness rate for patients with thymoma and a 65.7% for patients without thymoma. There was no defenitive relationship between the operation effectiveness and the suffering duration of time. However, aggravation and no improvement of a clinical sign after thymectomy were observed in patients with a severe or moderate degree of germinal center formation., Acta medica Nagasakiensia. 1989, 34(2-4), p.199-202}, pages = {199--202}, title = {Thymectomy for myasthenia gravis}, volume = {34}, year = {1989} }