Imanishi Naoko, Nabe Yusuke, Takenaka Masaru, Hirai Ayako, Ichiki Yoshinobu, Tanaka Fumihiro
Second Department of Surgery (Chest Surgery), University of Occupational and Environmental Health, Iseigaoka 1-1, Kitakyusyu, 807-8555, Japan.
Gen Thorac Cardiovasc Surg. 2019 Sep;67(9):814-817. doi: 10.1007/s11748-018-1037-4. Epub 2018 Nov 17.
Complete resection is the mainstay of treatment for thymoma. Even for advanced-stage thymoma with pleural dissemination, complete resection with extrapleural pneumonectomy may provide a favorable prognosis. Pleurectomy decortication, a lung-sparing surgery, has been preferably employed in recent years as an alternative surgical procedure for malignant pleural mesothelioma. However, little has been reported about pleurectomy decortication for other malignant tumors with pleural dissemination. Here, we present the first case of thymoma with pleural dissemination for which complete en bloc resection was achieved with extended pleurectomy decortication.
完整切除是胸腺瘤治疗的主要方法。即使是伴有胸膜播散的晚期胸腺瘤，行胸膜外全肺切除术完整切除也可能带来良好的预后。胸膜剥脱术作为一种保留肺的手术，近年来已被优先用于治疗恶性胸膜间皮瘤。然而，关于胸膜剥脱术用于治疗其他伴有胸膜播散的恶性肿瘤的报道较少。在此，我们报告首例伴有胸膜播散的胸腺瘤患者，通过扩大胸膜剥脱术实现了完整整块切除。
