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Mediastinal Diseases  •  Keyhole & Open

Thymectomy (Thymoma & Myasthenia Gravis)

The thymus gland sits behind the breastbone and can grow tumours or drive the muscle weakness of myasthenia gravis. Removing it - through keyhole or the chest midline - brings relief in both diseases.

Dr Ahmad Ali - Thoracic and Chest Surgeon
Dr. Ahmad AliThoracic & Chest Surgeon • Hameed Latif Hospital, Lahore
Thymectomy thymoma myasthenia gravis VATS illustration
The gland out, the weakness gone
Understanding the Condition

The thymus and the diseases it causes

The thymus is a small gland in front of the heart. In adults it often shrinks, but it can enlarge into a tumour (thymoma) or misbehave and trigger myasthenia gravis - a disease of muscle weakness.

Surgical removal of the entire gland - thymectomy - is the cornerstone for thymoma and helps many patients with myasthenia gravis dramatically, often reducing or stopping their medicines.

The modern approach is VATS thymectomy, done through three small cuts, or a partial sternotomy through a short midline incision for larger tumours. Both give excellent, proven results.

Types & Causes

The different forms

1

Thymoma

A tumour of the gland - removal with its capsule is the standard cure.

2

Thymic cyst

Usually harmless, but removal confirms safety and prevents complications.

3

Myasthenia gravis

Muscle weakness of eyes, chewing and limbs - thymectomy improves most patients.

4

Thymic hyperplasia

An overgrown gland driving autoimmunity - removal helps control the disease.

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Symptoms & Warning Signs

How you know you have it

Typical symptoms

  • Drooping eyelids or double vision
  • Difficulty chewing, swallowing or speaking
  • Muscle weakness that tires with the day
  • Cough or chest discomfort from a mediastinal mass

When to seek help urgently

  • Sudden severe breathing difficulty
  • Choking while swallowing
Myasthenia weakness fluctuates with effort - if lifting, chewing or your eyelid above tires quickly, mention thymus evaluation to your doctor.
Diagnosis

How it is confirmed

01

CT Chest

Shows the gland and any mass behind the breastbone.

02

MRI

Clearer detail of a suspected tumour and its neighbours.

03

Neurology Tests

Electromyography and blood antibodies confirm myasthenia when suspected.

04

Biopsy

For larger masses, a sample is first taken to confirm the diagnosis.

Treatment & Procedures

The procedures Dr Ahmad Ali performs

Gland and tumour are removed completely - the technique fits the case, not the other way around.

Keyhole

VATS Thymectomy

  • What it is — The entire gland is removed through 3 small side cuts with a camera.
  • Eligibility — Myasthenia gravis and small thymic masses.
  • Stay — 2-3 days.
  • Recovery — Fast, less painful - many patients reduce medicines within months.
Open

Partial Sternotomy & Thymectomy

  • What it is — A short midline cut gives complete access for larger tumours, and the gland is removed en bloc.
  • Eligibility — Bigger thymomas or involvement of nearby structures.
  • Stay — 4-6 days.
  • Recovery — Bone heals over 4-6 weeks; activity builds gradually.
Why patients choose us

Benefits of treatment at ChestExperts

Tumour cured

Complete removal of a thymoma gives excellent long-term outcomes.

Myasthenia improves

Most patients need less medication, and many reach remission.

Keyhole first

VATS means tiny scars and a much lighter recovery.

Open when needed

Bigger disease gets the thorough, safe exposure it requires.

A joint plan

Neurologists and surgeon work together for myasthenia patients.

Long-term follow-up

Structured reviews track your improvement and you are never alone.

Dr Ahmad Ali - Thoracic and Chest Surgeon
Dr Ahmad Ali
Thoracic & Chest Surgeon
Your Surgeon

Meet Dr Ahmad Ali

Specialist thoracic and chest surgeon at Hameed Latif Hospital, Lahore - focused on minimal-pain, minimal-stay surgery, including for Thymectomy (Thymoma & Myasthenia Gravis).

Dr Ahmad Ali treats every patient as his own. He first understands the problem completely - your symptoms, your scan and your daily life - before recommending anything. He explains each step simply, in Urdu or English, and never pushes a procedure that is not truly needed.

How he can help with Thymectomy (Thymoma & Myasthenia Gravis): He confirms the exact diagnosis, then chooses the least invasive option that is genuinely safe for your stage and performs it with precision, so your recovery is smooth. For most cases, the procedure Dr Ahmad Ali performs here is VATS Thymectomy while more advanced disease is handled with Partial Sternotomy & Thymectomy.

Thoracic SurgeryMinimally Invasive (VATS)Lung & Chest CancerChest Wall CareEmergency Chest Care
1
Consultation & scan review

Bring your reports - he tells you what they really mean, in simple words.

2
Diagnosis confirmed

Only the tests that are genuinely needed are ordered - no extra burden.

3
Personalised plan

The safest option for your exact stage, with clear and transparent cost.

4
Surgery & follow-up

The procedure, then careful follow-up until you are fully recovered.

Muscle weakness that will not settle?

Let us check the thymus as a possible driver - for many patients the answer starts here.

Mon–Sat: 2:00 pm – 6:00 pmSunday: Only emergenciesHameed Latif Hospital, Lahore
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