四十五歲男性,主訴六個月來漸進性肌肉無力,特別是眼瞼部的肌肉,在下午時尤其明顯。胸部X光顯示縱膈腔較寬。請問最可能之診斷為何?
淋巴癌 (lymphoma)
主動脈瘤併神經壓迫 (aortic aneurysm with nerve compression)
胸腺瘤併重症肌無力 (thymoma with myasthenia gravis)
肺癌併副癌症候群 (lung cancer with paraneoplastic syndrome)