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來源資料
相關文獻
- Malignant Thymoma: A Review of 44 Cases
- Radical Excision of Malignant Thymoma with Invasion of the Superior Vena Cava and Right Atrium: A Case Report
- Malignant Thymoma-Associated Refractory Minimal Change Nephropathy: A Case Report and Review of the Literature
- The Results of Surgical Management for Malignant Thymoma--An analysis of 61 cases
- 一位罹患惡性胸腺瘤重症肌無力患者之護理經驗
- Malignant Thymoma-Related Agranulocytosis Resolved after Thymothymectomy
- Radiotherapy of Malignant Thymoma
- 胸腺瘤
- 重肌無力症之受體抗體檢查
- 胸腺瘤
頁籤選單縮合
題 名 | Malignant Thymoma: A Review of 44 Cases=惡性胸腺瘤:44個病例回顧 |
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作 者 | 黃秀鈺; 陳維仁; | 書刊名 | 長庚醫學 |
卷 期 | 20:3 1997.09[民86.09] |
頁 次 | 頁174-180 |
分類號 | 415.935 |
關鍵詞 | 胸腺瘤; 惡性胸腺瘤; 重肌無力症; Thymoma; Malignant thymoma; Myasthenia gravis; |
語 文 | 英文(English) |
中文摘要 | 背景:惡性胸腺瘤是很少見的腫瘤。各種影響預後及存活率的因素,在很多研究中 被廣泛討論, 但結果都不盡相同。因此,我們做了這篇研究,想要找出一些影響預後的可能 因素。方法: 我們回顧自 1986 到 1996 年之間 44 例在高雄長庚醫院診斷為惡性胸腺瘤並 接受治療的病例。結果:44 例中男性 24 名,女性 20 名 (男女比率為 1.2:1),年齡由 25 歲到 73 歲 (平均 48 歲 ), 最常見的表現症狀為胸痛、咳嗽、和呼吸困雞。 其中 34 例 (77%) 屬於第一類惡性胸腺瘤 (侵犯性胸腺瘤 ),10 例 (23%) 屬於第二類惡性胸腺瘤 (胸 腺癌 ) , 最常見的病理組織型態為 pre- dominantly epithelial(43%) , 其次為 mixed(27%)。6 個病人有合併重肌無力症,11 位病人 (25%),包括 4 例侵犯性胸腺瘤及 7 例胸腺癌,發生肺臟、骨骼、肝臟、脾臟和網膜的轉移。5 年存活率在接受腫瘤全切除的病 人為 73%,在接受腫瘤部分切除或只做切片檢查的病人為 18 %。 腫瘤組織形態封頂後的影 響並不具統計學上的意義 (P=0.434)。結論: 在第一次開刀時能否將腫瘤完全切除是影響預 後最重要的因素。Predominantly epithelial 和 mixed 較具侵略性,較容易侵犯周圍組織 。 |
英文摘要 | Background:Malignant thymomas are rare neoplasms. Factors affecting prognosis and survival of patients with this neoplasm have been intensively discussed, but the results vary among different studies. To find possible prognostic factors, we designed this retrospective study. Methods: Forty-four cases of malignant thymomas diagnosed and treated in Chang Gung Memorial Hospital, Kaohsiung, from 1986 to 1996 were reviewed. Results: Of the 44 cases, 24 were male and 20 were female (M:F = 1.2:1). Patient age ranged from 25 to 73 years (median 48 years). Thirty-four cases (77%) belonged to type I malignant thymoma (invasive thymoma) and 10 cases (23%) belonged to type II malignant thymomas (thymic carcinoma). The most frequent histologic type was pre- dominantly epithelial (43%), followed by mixed lymphoepithelial (27%). Six patients had myasthenia gravis. Eleven (25%) patients, including 4 cases of invasive thymoma and 7 cases of thymic carcinoma, showed tumor metastasis to lung, bone, liver, spleen and omentum. The 5-year survival was 73% for patients who underwent total tumor excision and 18% for those who received partial tumor excision or biopsy only. The influence of histologic types on prognosis is not statistically significant (p= 0.434). Conclusion: Completeness of tumor excision at initial operation is the most important prognostic factor. Predominantly epithelial and mixed lymphoepithelial types are more aggressive forms with a higher tendency to invasion. |
本系統中英文摘要資訊取自各篇刊載內容。