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Revision as of 21:21, 27 February 2014 by Gerald Chi (talk | contribs)
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Treatment of Thymoma and Thymic Carcinoma

Thymic Tumor

  ▸  Resectable

  ▸  Unresectable



 
 
 
 
 
 
 
 
 
 
 
 
Pathology Evaluation
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
R0 Resection
 
 
 
 
 
 
 
R1 Resection
 
 
 
 
 
 
 
R2 Resection
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Thymoma, no capsular invasion or thymic carcinoma, stage I
 
Thymoma or thymic carcinoma, capsular invasion present, stages II-IV
 
 
 
Thymoma
 
Thymic carcinoma
 
 
 
Thymoma
 
Thymic carcinoma
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Postoperative <a href="/index.php/Thymoma_treatment#Radiation_Dose" title="Thymoma treatment">RT</a>
 
 
 
Postoperative <a href="/index.php/Thymoma_treatment#Radiation_Dose" title="Thymoma treatment">RT</a>
 
Postoperative <a href="/index.php/Thymoma_treatment#Radiation_Dose" title="Thymoma treatment">RT</a> + <a href="/index.php/Thymoma_treatment#Chemotherapy_Regimens" title="Thymoma treatment">Chemotherapy</a>
 
 
 
<a href="/index.php/Thymoma_treatment#Radiation_Dose" title="Thymoma treatment">RT</a> ± <a href="/index.php/Thymoma_treatment#Chemotherapy_Regimens" title="Thymoma treatment">Chemotherapy</a>
 
<a href="/index.php/Thymoma_treatment#Radiation_Dose" title="Thymoma treatment">RT</a> + <a href="/index.php/Thymoma_treatment#Chemotherapy_Regimens" title="Thymoma treatment">Chemotherapy</a>
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Surveillance for recurrence with CT
every 6 month for 2 y, then annually every 5 y for thymic carcinoma
and 10 y for thymoma
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Thymoma
or
Thymic Carcinoma
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Locally Advanced
 
 
 
 
Solitary Metastasis
 
 
 
 
Distant metastasis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
<a href="/index.php/Thymoma_treatment#Chemotherapy_Regimens" title="Thymoma treatment">Chemotherapy</a>
 
<a href="/index.php/Thymoma_treatment#Chemotherapy_Regimens" title="Thymoma treatment">Chemotherapy</a>
 
 
 
Surgery
 
<a href="/index.php/Thymoma_treatment#Chemotherapy_Regimens" title="Thymoma treatment">Chemotherapy</a>
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Re-evaluate
for surgery
 
 
 
 
 
<a href="/index.php/Thymoma_treatment#Chemotherapy_Regimens" title="Thymoma treatment">Chemotherapy</a> or <a href="/index.php/Thymoma_treatment#Radiation_Dose" title="Thymoma treatment">RT</a>
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Resectable
 
Unresectable
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Surgery ±
Postoperative <a href="/index.php/Thymoma_treatment#Radiation_Dose" title="Thymoma treatment">RT</a>
 
<a href="/index.php/Thymoma_treatment#Radiation_Dose" title="Thymoma treatment">RT</a> ± <a href="/index.php/Thymoma_treatment#Chemotherapy_Regimens" title="Thymoma treatment">Chemotherapy</a>