47例胸腺瘤临床分析
胸腺瘤,,胸腺瘤,外科学；,胸腺切除术；,放射治疗,1资料与方法,2结果,3讨论,参考文献:
摘要: 目的： 分析胸腺瘤的分期、病理类型、临床特点及治疗方法，总结47例胸腺瘤的外科治疗经验。方法： 对1991年1月~2003年10月收治的47例胸腺瘤患者进行临床分析，按Masaoka分期法进行分期，Ⅰ期16例，Ⅱ期23例，Ⅲ期8例，无Ⅳ期患者，回顾性分析胸腺瘤分期和治疗方法。结果： 手术治疗29例(29/47)，其中根治性切除22例，姑息性切除5例，探查术3例。放疗31例(31/47)，单纯放疗11例。结论： 胸腺瘤诊断主要依靠临床及病理学判断，治疗原则应尽可能广泛切除肿瘤及胸隔脂肪清除，术后根据具体情况辅以放疗。浸润型胸腺瘤术后接受放射治疗是必要的。关键词： 胸腺瘤/外科学； 胸腺切除术； 放射治疗
Clinical Analysis of Thymoma: A Report of 47 Case
ZHANG Guoqing, LIU Zhenjiang, WANG Bin
(Department of Surgery, Affiliated Tumor Hospital, Xinjiang Medical University, Urumqi 830011, China)
Abstract: Objective: To analysis the staging, pathology, clinical characteristics, therapy of thymoma and summarize the experience of surgical treatment of thymoma in 47 patients. Methods: 47 thymoma patients were treated from January 1991 to Octorber 2003. By Masaoka staging system, there were 16 stageⅠ, 23 stageⅡ, 8 stageⅢ and 0 stageⅣ. A retrospective analysis the relation between treatment and pathological stage of thymoma. Results: 29 patients underwent operation(29/47), 22 patients underwent radical operation(22/29), 5 patients underwent palliative operation(5/29), 3 patients underwent exploratory operation(3/29), 31 patients underwent radiotherapy (31/47), 11 patients underwent simple radiotherapy (11/31). Conclusion: Diagnosis of thymoma still depends on both clinical and pathological finding. The principal treatment is to resect the tumor as completely as possible, postoperative radiotherapy according to the surgery status,postoperative radiotherapy is necessary for invasive thymoma. ......
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