Akiyama S, Sakai M, Inoue S, Yamaguchi K, Ichihara S, Kataoka M, Ito K, Watanabe T, Takagi H
Second Department of Surgery, Nagoya University School of Medicine, Japan.
Jpn J Surg. 1990 Sep;20(5):577-81. doi: 10.1007/BF02471015.
We report herein a case of a patient with thymic carcinoid who was operated on twice and has been followed for 9 years. In 1979, the original tumor was removed through an emergency left thoracotomy incision done for a hemothorax caused by an anterior mediastinal biopsy. Tumor recurrence was found 6 years later and removal carried out through a median sternotomy. The patient has been working and enjoying life following radiation and chemotherapy for a total of 9 years after his first operation. Recurrent thymic carcinoid has been thought to carry a poor prognosis, but this successfully treated case has been followed up for a long time after the removal of his recurrent tumor. We present this case and discuss other such cases reported in the Japanese literature.
我们在此报告一例胸腺类癌患者,该患者接受了两次手术,并已随访9年。1979年,因前纵隔活检导致血胸,通过紧急左胸切开术切口切除了原发肿瘤。6年后发现肿瘤复发,通过正中胸骨切开术进行了切除。该患者在首次手术后总共接受了9年的放疗和化疗,之后一直正常工作并享受生活。复发性胸腺类癌一直被认为预后不良,但该成功治疗的病例在复发性肿瘤切除后已进行了长期随访。我们展示此病例并讨论日本文献中报道的其他此类病例。