A 45-year-old patient with ptosis and muscle weakness that improves with rest presents with dysphagia and engorged thoracic veins. CT shows an anterior mediastinal mass. What is the diagnosis?

Options

  1. Thymoma
  2. Pancoast tumor
  3. Adenocarcinoma
  4. Small cell lung cancer

Correct Answer

Thymoma

Explanation

Thymoma is an anterior mediastinal mass commonly associated with myasthenia gravis (ptosis, muscle weakness improving with rest). Superior vena cava syndrome can cause thoracic vein engorgement.


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