Department of Thoracic Surgery, Lung and Heart-Lung Transplantation, Louis Pradel Hospital, Lyon, France; National Expert Center for Thymic Malignancies (RYTHMIC), Lyon, France; Viral Infection and Comparative Pathology (IVPC), UMR 754, Claude Bernard Lyon 1 University, Lyon, France.
Department of Thoracic Surgery, Lung and Heart-Lung Transplantation, Louis Pradel Hospital, Lyon, France.
Ann Thorac Surg. 2019 Feb;107(2):e157-e160. doi: 10.1016/j.athoracsur.2018.07.058. Epub 2018 Sep 22.
Several surgical procedures, from debulking to extrapleural pneumonectomy, may be applied for stage IVa Masaoka thymomas, but their efficiency is still controversial. Case studies have favored R resection as the cornerstone of multimodal therapy for locoregional metastatic extension. This report describes a standardized procedure combining a cytoreductive surgical procedure and intrathoracic chemohyperthermia on a 46-year-old patient presenting with B2 thymoma and synchronous unilateral pleural metastasis.
对于 IVa 期的胸腺瘤（Masaoka 分期），可以采用多种手术方式（从肿瘤减灭术到胸膜外全肺切除术），但其疗效仍存在争议。病例研究倾向于将 R 切除术作为局部区域转移扩展的多模态治疗的基石。本报告描述了一种标准化的手术程序，将细胞减灭术与胸腔内热化疗相结合，用于治疗一位 46 岁的 B2 胸腺瘤伴同侧单侧胸膜转移的患者。
