Inoue H, Iwasaki M, Tsurumi T, Yamada S, Ogawa J, Shohtsu A, Mori T
First Department of Surgery, Tokai University School of Medicine.
Kyobu Geka. 1992 Mar;45(3):195-200; discussion 200-3.
Nine patients underwent operation for pleural dissemination of thymoma and received radiotherapy postoperatively. In 5 patients dissemination was resected along with the invasive thymoma at the initial operation. In 6 patients resection of a part of the diaphragm was needed. In 4 patients recurrent dissemination of thymoma appeared in the phrenico-costal sinus, where not only the location of dissemination but also postoperative radiotherapy had not been performed properly at the time of the previous operation. Seven are alive 2 months to 7 years 10 months after the first operation for dissemination. Two died respectively 7 years and 3 years 5 months after the first operation for dissemination.
9例胸腺瘤胸膜播散患者接受了手术治疗,并于术后接受放疗。其中5例在初次手术时,胸膜播散灶与浸润性胸腺瘤一并切除。6例患者需要切除部分膈肌。4例患者胸腺瘤复发播散至膈肋窦,既往手术时不仅播散灶定位不准确,术后放疗也未恰当实施。7例患者在初次播散手术后2个月至7年10个月存活。2例分别于初次播散手术后7年和3年5个月死亡。