Department of Radiology, The George Washington University Medical Faculty Associates, 900 23rd Street, Northwest, Suite G 2092, Washington, DC 20037, USA.
Department of Thoracic Imaging, MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1478, Houston, TX 77030, USA.
Radiol Clin North Am. 2021 Mar;59(2):169-182. doi: 10.1016/j.rcl.2020.11.005. Epub 2021 Jan 9.
Thymic epithelial neoplasms, as classified by the World Health Organization, include thymoma, thymic carcinoma, and thymic carcinoid. They are a rare group of tumors and are often diagnosed incidentally in the work-up of parathymic syndrome, such as myasthenia gravis, or when mass effect or local invasion causes other symptoms. In each of these scenarios, understanding the radiologic-pathologic relationship of these tumors allows clinical imagers to contribute meaningfully to management decisions and overall patient care. Integrating important imaging features, such as local invasion, and pathologic features, such as necrosis and immunohistochemistry, ensures a meaningful contribution by clinical imagers to the care team.
胸腺上皮肿瘤,根据世界卫生组织的分类,包括胸腺瘤、胸腺癌和胸腺癌。它们是一组罕见的肿瘤,通常在副神经综合征(如重症肌无力)的检查中或因肿块效应或局部侵犯引起其他症状而偶然诊断出来。在这些情况下,了解这些肿瘤的放射病理学关系可以使临床影像医生对管理决策和整体患者护理做出有意义的贡献。整合重要的影像学特征,如局部侵犯,以及病理学特征,如坏死和免疫组织化学,可确保临床影像医生对护理团队做出有意义的贡献。