Two cases of repeatedly recurrent thymoma with myasthenia gravis are detail
ed here, A 41-year-old woman had 5 recurrent thymomas, including local recu
rrences and lumbar and lung metastases; she was alive at the time of this w
riting, which was 22 years after her first surgery. A 36-year-old man had 3
recurrent thymomas, including local recurrence, dissemination, and lung me
tastasis; he was alive at the time of this writing, which was 16 years afte
r his first surgery. Both recurrent lesions were diagnosed as "atypical thy
moma" with moderate nuclear atypia, The patients with atypical thymoma must
be followed up carefully due to a possible recurrence, Surgical treatment
with chemoradiotherapy can lengthen their survival.