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心脏内侵犯性胸腺瘤挽救性手术后的长期生存情况。

Long-term survival after salvage surgery for invasive thymoma with intracardiac extension.

作者信息

Pastorino Ugo, Yang Xue Ning, Francese Massimo, Durkovic Sava, Biglioli Paolo

机构信息

Division of Thoracic Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

出版信息

Tumori. 2008 Sep-Oct;94(5):772-6. doi: 10.1177/030089160809400526.

DOI:10.1177/030089160809400526
PMID:19112960
Abstract

We report a case of successful salvage surgery for invasive thymoma initially judged to be unresectable that did not respond to sequential chemoradiotherapy. The patient underwent en bloc resection of the tumor, superior vena cava, upper portion of the right atrium (RA) and intracardiac neoplastic thrombus with the aid of a cardiopulmonary bypass without cardiac arrest. The patient is disease free 8.5 years after radical thymectomy and subsequent resection of 2 second primary lung adenocarcinomas.

摘要

我们报告了一例侵袭性胸腺瘤成功挽救性手术的病例,该病例最初被判定无法切除,且对序贯放化疗无反应。患者在体外循环且不停跳的辅助下,整块切除了肿瘤、上腔静脉、右心房(RA)上部及心内肿瘤血栓。在根治性胸腺切除及随后切除2个第二原发性肺腺癌后8.5年,患者无疾病生存。

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1
Long-term survival after salvage surgery for invasive thymoma with intracardiac extension.心脏内侵犯性胸腺瘤挽救性手术后的长期生存情况。
Tumori. 2008 Sep-Oct;94(5):772-6. doi: 10.1177/030089160809400526.
2
Invasive thymoma with intracaval growth extending and directly invading the right atrium.侵袭性胸腺瘤伴腔内生长,肿瘤延伸并直接侵犯右心房。
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引用本文的文献

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A rare journey of a thymoma: A case report.胸腺瘤的罕见病程:一例报告
Int J Surg Case Rep. 2025 Feb;127:110891. doi: 10.1016/j.ijscr.2025.110891. Epub 2025 Jan 13.
2
Case report: Complete resection of invasive thymoma invading the superior vena cava and right atrium under cardiopulmonary bypass support.病例报告:在体外循环支持下完整切除侵犯上腔静脉和右心房的侵袭性胸腺瘤。
Front Oncol. 2022 Oct 20;12:1026524. doi: 10.3389/fonc.2022.1026524. eCollection 2022.
3
Reconstruction of mediastinal vessels for invasive thymoma: a retrospective analysis of 25 cases.
侵袭性胸腺瘤纵隔血管重建:25例回顾性分析
J Thorac Dis. 2017 Mar;9(3):725-733. doi: 10.21037/jtd.2017.03.03.
4
Management and postoperative outcome in primary lung cancer and heart disease co-morbidity: a systematic review and meta-analysis.原发性肺癌合并心脏病患者的管理和术后结局:系统评价和荟萃分析。
Ann Transl Med. 2016 Jun;4(11):213. doi: 10.21037/atm.2016.06.02.