Mack D, Mallinckrodt G, Harlacher A
Thoraxchir Vask Chir. 1977 Oct;25(5):333-5. doi: 10.1055/s-0028-1097055.
X-rays in different planes, roentgenisation, tomograms and not so often the clinical symptoms today are still responsible for the diagnosis. Mediastinoscopy and lateral mediastinoscopy very often ensure the diagnosis and dignity of the tumor. From 1956 to 1976 948 patients at our clinic were operated because of a mediastinal tumor. In 67 or 7% it was a thymic tumor. With thymic hyperplasia, thymoms and cysts of the thymic gland the survival time after operation was hardly reduced. The prognosis of the malign tumors of the thymic gland was bad with or without ray-treatment. By thymectomia 43% of the patients with myasthenia showed a good recovery.
如今,不同平面的X线检查、X线造影、体层摄影以及相对不那么常见的临床症状仍用于诊断。纵隔镜检查和侧方纵隔镜检查常常能确诊肿瘤并明确其性质。1956年至1976年,我们诊所共有948例患者因纵隔肿瘤接受手术。其中67例(占7%)为胸腺肿瘤。对于胸腺增生、胸腺瘤和胸腺囊肿患者,术后生存时间几乎没有缩短。胸腺恶性肿瘤无论是否接受放疗,预后都很差。通过胸腺切除术,43%的重症肌无力患者恢复良好。