摘要
报告了７５例胸腺瘤的诊断与治疗。胸部Ｘ线等影像学检查是本病诊断的主要手段，重症肌无力是本病最常见的并发病２１．３％（１６／７５）。胸腺瘤均为低度恶性肿瘤。浸润型与非浸润型胸腺瘤３、５和１０年生存率分别为８５．０％、５８．３％、５０．０％和９６．４％、９４．６％、９０．９％。作者认为，胸腺瘤病人均应积极手术，对浸润型病例行扩大根治性切除可减少肿瘤复发，提高疗效。各类并发病不是手术禁忌证。辅以放疗、化疗等综合治疗可以提高疗效。组织类型、病理分期及治疗方案是影响本病预后的重要因素，并发疾病对本病的预后无明显影响。
This paper deals with the diagnosis and surgical treatment of 75 patients with thymoma。 The chest radiograph is the chief method of the preoperative diagnosis of thymoma. The most common complication of thymoma is myasthenia gravis(21.3%); Thymoma is a malignancy of grade, The overal 3、5 and 10 year survival rates of the noninvasive thymomas are 96.4%、 94.6%and 90.9%, respectively, but that of the invasive thymomas are 85.0%、58.3%and 50.O%, respectively, We believe that surgery is strongly indicated for thymoma。 An extensive and radical resection for invasive thymoma is expected to reduce recurrence of the tumour, Complications of thymoma are not contraindication for operation。 The survival time may be prolonged by postoperative radiotherapy and chemotherapy. The prognosis depends mainly on the type of parthology, stage of the diseaes, and treatment method. The prognosis is not influenced remarkably by its complications。
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1994年第4期280-282,共3页
Medical Journal of Chinese People's Liberation Army
