恶性胸腺肿瘤的手术治疗

目的：总结７年间手术治疗的７０例恶性胸腺肿瘤的经验。方法：按肿瘤大小及位置分别采用正中劈胸骨切口和（或）后外测切口、前外侧切口施术。结果：由于胸腺的特殊解剖位置，当发生恶性肿瘤时极易发生心包及前纵隔大血管浸润，术中难以将肿瘤完整切除，大血管上常有肉眼能见的肿瘤浸润残瘤，能够完整切除者常需合并大血管部分切除。但从疗效看，肿瘤有残瘤组术后追加放射治疗，其１年、３年生存率仅略低于完整切除组而明显高于单纯

Surgical treatment of malignant thymoma

Aim:To review the experience of surgical treatment for malignant thymoma.Clinical material and method:Seventy patients with malignant thymoma were treated surgically.There were 41 males and 29 females with a mean age of 41.5 years.The operation were done through median sternotomy in 50 cases,median sternotomy plus anterior thoracotomy in 6,posterior thoracotomy in 8 and anterior thoracotomy in 6.Results:Surgical procedures included exploration in 10,palliative resection in 19 and radical resection in 41.The 3 year survival rate was 10% for exploration group,52% for palliative resection group and 57% for radical resection group.Conclusion:The long term survival rates in both radical resection group and palliative resection group are much better than in exploration group.