胸腺瘤35例外科治疗体会  

Experience of Surgical Treatment for 35 Patients with Thymoma

作　　者：毛清华[1] 高俊[1] 王强[1] 

机构地区：[1]南通市肿瘤医院外科,江苏南通226361

出　　处：《河南肿瘤学杂志》2005年第5期347-348,共2页Henan Journal of Oncology

摘　　要：目的对35例胸腺瘤进行临床分析,总结不同分期胸腺瘤手术特点与预后关系。方法对1992年1月—2003年1月收治的35例胸腺瘤患者进行随访,了解胸腺瘤治疗和预后关系。结果本组无手术死亡,随访所有患者,逐年失访7例。2例分别在术后2个月、3个月因重症肌无力、发生肺部感染及呼吸衰竭死亡,2例术后10个月、18个月分别死于肿瘤复发和远处转移。其余24例情况良好。结论临床分期和手术方式与预后相关,尽可能扩大切除胸腺,Ⅱ期以上胸腺瘤术后需辅助放疗。Objective To summarize the characteristics of operation and the prognosis of 35 patients with thymoma. Methods 35 thymoma patients were treated from January 1992 to January 2003. The relation between treatment and prognosis was analyzed. Results No patient died through the operation .7 patients missed follow-up .2 cases died from myasthenia gravis complicated by lung infection and respiration function failure, one case after 2 months and the another after 3 months after operation. 1 case died of recurrent thymoma after 10 months after operation, and the another died of remote metastasis. The condition of the other 24 cases is very well. Conclusions The prognosis was related with clinical staging and the way of operation. Try to resect thymus as completely as possible. Postoperative radiotherapy must be given to patients with thymoma in Masaoka stage Ⅱ or on

关 键 词：胸腺瘤 肿瘤分期 胸腺切除术 

分 类 号：R736.3[医药卫生—肿瘤] R730.56[医药卫生—临床医学]