胸腺肿瘤规范化外科治疗  

Standardized surgical treatment of thymic tumors

作　　者：章雪飞[1] 谷志涛[1] 茅腾[1] 傅剑华[2] 韩泳涛[3] 陈椿[4] 陈克能[5] 于振涛[6] 付小龙 方文涛[6] 无 Zhang Xuefei;Gu Zhilao;Mao Teng;Fu Jianhua;Han Yongtao;Chen Chun;Chen Keneng;Yu Zhentao;Fu Xiaolong;Fang Wentao;无(Department of Thoracic Surgery,Shanghai Chest Hospital,Shanghai Jiao Tong University,Shanghai 200030,China;Department of Thoracic Surgery,Sun Yut-sen University Cancer Center,Guangzhou 510060,China;Department of Thoracic Surgery,Sichuan Cancer Hospital,Chengdu 610041,China;Department of Thoracic Surgery,Fujian Medical University Union Hospital,Fuzhou 350001,China;Department of Thoracic Surgery,Peking University Cancer Hospitaly Beijing 100142,China;Department of Esophageal Cancer,Tianjin Medical University Cancer Hospitals,Tianjin 300060,China;Mediastinal Tumor Committee of Chinese Anti Cancer Association;Mediastinal Tumor Committee of Chinese Society of Clinical Oncology)

机构地区：[1]上海市胸科医院上海交通大学附属上海市胸科医院胸外科,200030 [2]中山大学肿瘤防治中心胸外科,广州510060 [3]四川省肿瘤医院胸外科,成都610041 [4]福建医科大学附属协和医院胸外科,福州350001 [5]北京大学肿瘤医院胸外科,100142 [6]天津医科大学肿瘤医院食管肿瘤科,300060 [7]中国抗癌协会纵隔肿瘤专业委员会 [8]中国临床肿瘤学会纵隔肿瘤专家委员会

出　　处：《中华胸心血管外科杂志》2020年第11期641-646,共6页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：胸腺肿瘤是前纵隔中最常见的肿瘤,以往认为发病率较低,同时生物学行为相对惰性,缺乏通过前瞻性随机对照研究获得的高级别循证证据指导临床。目前不同区域内对胸腺肿瘤诊治经验并不均衡,胸腺肿瘤诊疗过程中仍有许多值得注意的问题需要探讨。本文拟通过综合纵隔占位手术指征、胸腺肿瘤手术切除范围、手术路径、术中淋巴结清扫及术后管理策略等方面的最新研究进展,规范胸腺肿瘤外科治疗体系。Thymic epithelial tumors are the most common tumors in anterior mediastinum.They are used to be considered rare in incidence,with an indolent nature of biological behaviors,which led to the lack of high level evidence obtained from prospective randomized controlled trials to guide the clinical treatment.At present,the experience of diagnosis and treatment of thymic tumors varies greatly in different regions.And there are still many problems remain to be solved.This paper aims to establish a standardized surgical treatment based on the latest researches in surgical indications,resection extent,surgical approach,lymph node dissection and postoperative management of thymic tumors.

关 键 词：胸腺肿瘤 肿瘤外科治疗 手术切除范围 前纵隔 淋巴结清扫 手术路径 纵隔占位 诊疗过程 

分 类 号：R736.3[医药卫生—肿瘤]