Thymoma surgery: Difference between revisions
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*The [[mediastinum]] must be explored for cervical thymus extensions and laterally down to the phrenic nerves. | *The [[mediastinum]] must be explored for cervical thymus extensions and laterally down to the phrenic nerves. | ||
====Primary Diagnosis Treatment Algorithm<ref name="www.cancertreatmentreviews.com">{{Cite web | last = | first = | title = http://www.cancertreatmentreviews.com/article/S0305-7372(11)00249-0/abstract | url = http://www.cancertreatmentreviews.com/article/S0305-7372(11)00249-0/abstract | publisher = | date = | accessdate = }}</ref>==== | |||
{{familytree/start |summary=PE diagnosis Algorithm.}} | {{familytree/start |summary=PE diagnosis Algorithm.}} | ||
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====Relapse Treatment Algorithm<ref name="www.cancertreatmentreviews.com">{{Cite web | last = | first = | title = http://www.cancertreatmentreviews.com/article/S0305-7372(11)00249-0/abstract | url = http://www.cancertreatmentreviews.com/article/S0305-7372(11)00249-0/abstract | publisher = | date = | accessdate = }}</ref>==== | |||
{{familytree/start |summary=Relapse}} | {{familytree/start |summary=Relapse}} | ||
{{familytree | | | | | | | | A01 |A01=**Relapse}} | {{familytree | | | | | | | | A01 |A01=**Relapse}} | ||
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==References== | ==References== |
Revision as of 17:14, 28 September 2015
Thymoma Microchapters |
Diagnosis |
---|
Case Studies |
Thymoma surgery On the Web |
American Roentgen Ray Society Images of Thymoma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Amr Marawan, M.D. [2] Ahmad Al Maradni, M.D. [3]
Overview
Surgery is the mainstay of treatment of thymoma.
Surgery
- Complete resection may require resection of the adjacent structures, including pleura, lungs, pericardium, phrenic nerves and sometimes major vascular structures.
- Pleural surfaces should be examined for metastasis.
- There is no long term data to support minimally invasive procedures.[1]
- A full median sternotomy is the standard open approach.
- The mediastinum must be explored for cervical thymus extensions and laterally down to the phrenic nerves.
Primary Diagnosis Treatment Algorithm[2]
Stage I | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
**Diagnosis of thymoma | Resectable | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Chemotherapy single agent e.g. IFo or combination e.g. ADOC or CAPP | Surgical resection | Incomplete resection | Radio/chemo therapy | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Stage II/III/IV | Unresectable | Radiotherapy | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Relapse Treatment Algorithm[2]
**Relapse | |||||||||||||||||||||||||||||||||||||||
Resectable | Unresectable | ||||||||||||||||||||||||||||||||||||||
Radiotherapy | Corticosteroids/octreotide | ||||||||||||||||||||||||||||||||||||||
Surgical resection | |||||||||||||||||||||||||||||||||||||||
Incomplete resection | |||||||||||||||||||||||||||||||||||||||
Radiotherapy | |||||||||||||||||||||||||||||||||||||||
References
- ↑ "https://www.nccn.org/store/login/login.aspx?ReturnURL=http://www.nccn.org/professionals/physician_gls/pdf/thymic.pdf" (PDF). External link in
|title=
(help) - ↑ 2.0 2.1 "http://www.cancertreatmentreviews.com/article/S0305-7372(11)00249-0/abstract". External link in
|title=
(help)