Kayata Hiroyuki, Isaka Mitsuhiro, Ohde Yasuhisa, Takahashi Toshiaki, Harada Hideyuki
Division of General Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Division of General Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Ann Thorac Surg. 2017 Jan;103(1):e5-e7. doi: 10.1016/j.athoracsur.2016.05.048.
We report a case of Masaoka stage IVb thymic carcinoma that had metastasized to right supraclavicular lymph nodes, where it would have been difficult to achieve complete resection. Thus, we performed concurrent chemoradiotherapy, which decreased the tumor's size and facilitated complete resection. The patient had an uneventful postoperative course and 30 months of recurrence-free survival. Concurrent chemoradiotherapy followed by complete surgical resection may be a useful strategy in cases of stage IVb thymic carcinoma with supraclavicular lymph node metastasis.
我们报告一例Masaoka IVb期胸腺癌,该肿瘤已转移至右侧锁骨上淋巴结,在此处难以实现完全切除。因此,我们进行了同步放化疗,这减小了肿瘤大小并有助于完全切除。患者术后恢复顺利,无复发生存30个月。对于伴有锁骨上淋巴结转移的IVb期胸腺癌患者,同步放化疗后行完全手术切除可能是一种有效的治疗策略。