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THYMIC CARCINOMA (REPORT OF 14 CASES)
引用本文:张志庸,崔玉尚,李秉路,王枫,李泽坚,孙承孚,徐乐天.THYMIC CARCINOMA (REPORT OF 14 CASES)[J].中国医学科学杂志,1997,12(4):252-255.
作者姓名:张志庸  崔玉尚  李秉路  王枫  李泽坚  孙承孚  徐乐天
作者单位:DepartmentofThoracicSurgery,PUMCHospital,CAMS&PUMC,Beijing100730
摘    要:This paper reports of 14 cases of thymic carcinoma. Most of them with symptoms of chest pain, chest stuffy and discomfort, but without combined with extrathoracic syndrome, The tumors always were large in size and frequently invaded adjacent organs, hence with low resection rate. In this series, complete resection of tumor only 2 cases, partial resection in 7 cases, exploratory thoracotomy in 5 cases. Thymic carcinoma was an extremely malignant tumor with extensive invasion intrathoracally and early metastasis extrathoracally. The common sites of metastasis were bone, liver,lung and extrathoracic lymph nodes. Adjurant therapy postoperatively was given to all patienxs. Follow up of 1-8 years showed 10 cases death,of which 5 coses diod within the first year after surgery,3 eases within the second year. Four patients were still alive so far, in which 3 patients were within 1.5 years postoperativaly. Pathological studies revealed 9 cases of squamous epithelial cell thymic carcinoma ,3 of lymphoepithelioma-like thymic carcinoma and 2 of small cell undifferentiate thymic carcinoma.

关 键 词:胸腺癌  胸部症状  临床特点  手术治疗  生存率

THYMIC CARCINOMA (REPORT OF 14 CASES)
Zhang Zhiyong , Cui Yushang, Li Binglu ,Wang Feng, Li Zejian, Sun Chengfu ,Xu Letian.THYMIC CARCINOMA (REPORT OF 14 CASES)[J].Chinese Medical Sciences Journal,1997,12(4):252-255.
Authors:Zhang Zhiyong  Cui Yushang  Li Binglu  Wang Feng  Li Zejian  Sun Chengfu  Xu Letian
Institution:Department of Thoracic Surgery, PUMC Hospital, CAMS & PUMC, Beijing 100730.
Abstract:This paper reports of 14 cases of thymic carcinoma. Most of them with symptoms of chest pain, cheststuffy and discomfort, but without combined with extrathoracic syndromes, The tumors always were largein size and frequently invaded adjacent organs, hence with low resection rate. ln this series, complete re-section of tumor only 2 cases, partial resection in 7 cases, exploratory thoracotomy in 5 cases. Thymic car-cinoma was an extremely malignant tumor with extensive invasion intrathoracally and early metastasis ex-trathoracally. The common sites of metastasis were bone, liver,lung and extrathoracic lymph nodes. Adju-vant therapy postoperatively was given to all patients. Follow-up of lbo 8 years showed 1O cases death,ofwhich 5 cases died within the first year after surgery,3 cases within the second year. Four patients werestill alive so far, in which 3 patients were within 1. 5 years postoperatively. Pathological studies revealed 9cases of squamous epithe1ial cell thymic carcinoma, 3 of lymphoepithelioma - like thymic carcinoma and 2 ofsmall cell undifferentiate thymic carcinoma.
Keywords:thymic carcinoma  thymoma
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