Are you eligible for thymectomy at age 65 while still experiencing symptoms despite multiple treatments?
At 65, thymectomy eligibility becomes less clear-cut. There's general consensus that people over 60 typically don't benefit as much from thymectomy compared to younger individuals. However, decisions are made Show Full Answer
Are you eligible for thymectomy at age 65 while still experiencing symptoms despite multiple treatments?
At 65, thymectomy eligibility becomes less clear-cut. There's general consensus that people over 60 typically don't benefit as much from thymectomy compared to younger individuals. However, decisions are made case-by-case, and age alone might not automatically disqualify you.
The fact that you're still experiencing symptoms despite being on prednisone, Mestinon, IVIG, and Zilbrysq shows your MG is challenging to control. This could be a factor your neurologist considers when evaluating whether thymectomy might help.
Important considerations for your situation:
* Older adults generally have weaker responses to thymectomy
* Your disease severity and how long you've had symptoms matter
* Whether you have any thymic abnormalities (like a thymoma) would make thymectomy more strongly recommended regardless of age
* Your overall health and ability to tolerate surgery
The best step is discussing this directly with your neurologist. They can review imaging of your thymus, assess your specific antibody status, and weigh whether the potential benefits outweigh the surgical risks in your particular case.
Even if thymectomy isn't recommended, there may be other treatment adjustments that could help better control your symptoms.
April 21