Wilkins E W, Castleman B
Ann Thorac Surg. 1979 Sep;28(3):252-6. doi: 10.1016/s0003-4975(10)63114-1.
An analysis is presented of the treatment of 103 patients with thymoma, 56 with myasthenia gravis and 47 without. In a 1966 report on the first 63 patients, it was stated that the presence of myasthenia and the finding of local tumor invasion at operation were ominous prognostic indicators. The augmented series suggests that myasthenia no longer carries this stigma, possibly because of improved methods in its management in patients who have undergone operation.
本文对103例胸腺瘤患者的治疗情况进行了分析，其中56例患有重症肌无力，47例没有。在1966年关于首批63例患者的报告中指出，重症肌无力的存在以及手术中发现局部肿瘤侵犯是预后不良的指标。扩大后的系列研究表明，重症肌无力不再具有这种不良影响，这可能是因为对接受手术患者的管理方法有所改进。
