Stage IVA thymoma: patterns of spread and surgical management.

Abstract:

:Stage IVA disease can be de novo disease or more commonly represent recurrent disease. The pleura is the most common site of relapse after thymoma resection. Local pleural disease is usually simply resected. This is usually combined with either induction or adjuvant chemotherapy. The ultimate extended surgery for advanced thymic tumors is an extrapleural pneumonectomy done for extensive pleural disease. This rarely performed operation is done for both stage IVA disease found at initial presentation and for recurrent disease as a salvage procedure. Again, these advanced patients with pleural spread are probably best managed by induction chemotherapy followed by resection.

journal_name

Thorac Surg Clin

journal_title

Thoracic surgery clinics

authors

Wright CD

doi

10.1016/j.thorsurg.2010.08.007

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

93-7, vii

issue

1

eissn

1547-4127

issn

1558-5069

pii

S1547-4127(10)00134-9

journal_volume

21

pub_type

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