title: [Good's syndrome (thymoma associated hypogammalobulinaemia) - 2 case reports].
abstract: Although tumours of the thymus are rare, they are common among neoplasms of the anterior superior mediastinum. They usually exhibit indolent behavior, but do have the capacity to invade surrouding structures. Their metastatic potential is low. Paraneoplastic complications including autoimmune disorders (frequently myastenia, cytopenia) or combined immunodeficiency are of clinical significance. Here we report two case reports of thymoma patients associated with secondary immunodeficiency known as Goods syndrom. The first case exhibited as symptomatic combinated immunodeficiency with oral lichen planus. Thymoma findings was accidental. Severity of immunodeficiency required long-term intravenous immunoglobulins supplementations, even after complete surgical resection. On the other hand, the second case manifested by signs of advanced local tumour growth. Antibiotic prophylaxis was selected as immunodeficiency treatment.
authors.affiliation: Ústac Klinické Imunologie a Alergologie Lékarské Fakulty UK a FN Hrade Králové, Prednosta prof. RNDr. Jan Krejsek, CSc. kralickova.pavlina@fnhk.cz
authors.forename: P
authors.initials: P
authors.lastname: Králíčková
authors.forename: R
authors.initials: R
authors.lastname: Slezák
authors.forename: M
authors.initials: M
authors.lastname: Vošmik
authors.forename: P
authors.initials: P
authors.lastname: Malá
authors.forename: H
authors.initials: H
authors.lastname: Hornychová
authors.forename: J
authors.initials: J
authors.lastname: Brožík
authors.forename: B
authors.initials: B
authors.lastname: Melichar
mesh_terms: D000361:Agammaglobulinemia / Q000175:diagnosis*; D000368:Aged; D005260:Female; D006801:Humans; D017676:Lichen Planus, Oral / Q000175:diagnosis; D008875:Middle Aged; D013577:Syndrome; D013945:Thymoma / Q000175:diagnosis*; D013953:Thymus Neoplasms / Q000175:diagnosis*