Nawata S, Kaneda Y, Hirayama T, Esato K
First Department of Surgery, Yamaguchi University, School of Medicine, Ube, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Jun;39(6):962-6.
A previously operated 62-year-old male with recurrent thymic carcinoid tumor was reported. This patient underwent resection of the thymic carcinoid tumor through left thoracotomy 7 years ago. Although the postoperative clinical course was uneventful, an anterior mediastinal tumor on the patient's chest was discovered after an X-ray examination due to a traffic accident in July, 1989. With the diagnosis of recurrent thymic carcinoid tumor, he underwent an excision of the anterior mediastinal tumor and residual thymus. He also underwent partial resection of the pericardium, mediastinal pleura, and left upper lobe of the lung. 42 cases with thymic carcinoid tumor that have been reported in the Japanese literature were reviewed. A perusal in the relevant literature suggested that total thymectomy was advisable because partial thymectomy was associated with a high risk of local recurrence and metastases.
报告了一名62岁曾接受手术的男性复发性胸腺类癌肿瘤患者。该患者7年前通过左胸切开术切除了胸腺类癌肿瘤。尽管术后临床过程平稳，但在1989年7月因交通事故进行X线检查后，发现患者胸部有一个前纵隔肿瘤。诊断为复发性胸腺类癌肿瘤后，他接受了前纵隔肿瘤和残余胸腺切除术。他还接受了心包、纵隔胸膜和左肺上叶的部分切除术。对日本文献中报道的42例胸腺类癌肿瘤病例进行了回顾。相关文献研读表明，全胸腺切除术是可取的，因为部分胸腺切除术与局部复发和转移的高风险相关。
