Surgical therapy of thymomas.
Surgical treatment of thymomas is indicated for Masaoka stage 1 to 3. We are not in favor of mini-invasive techniques. We consider a gold standard to be sternotomy followed by a tumor removal and extended thymectomy. We are convinced it is necessary to perform sternotomy, tumor removal and extended thymectomy after a thymoma resection through thoracotomy to prevent a late onset of myasthenia gravis. In stages 2 to 3 actinotherapy along with chemotherapy should follow surgery to increase the patient's chances for a prolonged survival (Tab. 10).
Schützner
J
J
Third Department of Surgery, Motol Hospital, First Medical Faculty, Charles University, Prague, Czech Republic.
Smat
V
V
Pafko
P
P
Adámek
S
S
Sláma
J
J
D006801:Humans; D015996:Survival Rate; D013945:Thymoma / Q000401:mortality / Q000601:surgery*; D013953:Thymus Neoplasms / Q000401:mortality / Q000601:surgery*