| 恶性胸腺瘤合并上腔静脉综合征的外科治疗 |
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| 引用本文： | 赵东波,步兵,彭忠民,孟龙,陈景寒. 恶性胸腺瘤合并上腔静脉综合征的外科治疗[J]. 中华肿瘤防治杂志, 2006, 13(17): 1345-1346 |
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| 作者姓名： | 赵东波 步兵 彭忠民 孟龙 陈景寒 |
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| 作者单位： | 山东省肿瘤医院,胸外科,山东,济南,250117;山东省肿瘤医院,内科,山东,济南,250117;山东省立医院胸外科,山东,济南,250021 |
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| 摘 要： | 为了总结恶性胸腺瘤合并上腔静脉综合征(superiorvenacavasyndrome,SVCS)的外科治疗经验,回顾性分析30例恶性胸腺瘤患者的临床资料。手术采用胸骨正中劈开切口;术中尽量切尽肿瘤及受侵组织;术后局部放疗加含DDP的全身化疗。围手术期无死亡病例;失访3例,5例分别于术后20~31个月死亡,22例存活至今。初步研究结果提示,手术治疗是恶性胸腺瘤合并SVCS的首选方法,术后应辅助局部放疗及全身化疗。
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| 关 键 词： | 胸腺瘤/外科学 胸腺瘤/并发症 上腔静脉综合征/外科学 上腔静脉综合征/并发症 |
| 文章编号： | 1673-5269（2006）17-1345-02 |
| 收稿时间： | 2005-07-07 |
| 修稿时间： | 2005-11-18 |
Surgery of malignant thymoma with superior vena cava syndrome |
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| ZHAO Dong-bo,BU Bing,PENG Zhong-min,MENG Long,CHEN Jing-han. Surgery of malignant thymoma with superior vena cava syndrome[J]. Chinese Journal of Cancer Prevention and Treatment, 2006, 13(17): 1345-1346 |
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| Authors: | ZHAO Dong-bo BU Bing PENG Zhong-min MENG Long CHEN Jing-han |
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| Abstract: | The objective of this research was to summarize the experience of surgery on malignant thymoma with superior vena cava syndrome. The clinical data of thirty patients were reviewed. Sternotomy was performed. The tumor and the invaded organs or tissure were resected as far as possible. Radiotherapy and chemotherapy were performed after the operation. No patient died during the operation period. Five patients died during 20 to 31 months after operation. Twenty-two ones survived. In conclusion, operation is the first choice to treat advanced malignant thymoma. After operation, patients had better receive local radiotherapy and chemotherapy. |
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| Keywords: | thymoma/surgery thymoma/syndrome superior vena cava syndrome/surgery superier vena cava syndrome/syndrome |
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