Surgical management of stage III thymic tumors.
Thymic tumors are classified as stage III when they clearly invade the surrounding structures: pericardium, great vessels (superior vena cava, innominate veins, ascending aorta, and main pulmonary artery), lung parenchyma, phrenic nerves, and chest wall. Surgical treatment with or without induction therapy should always aim to complete resection removing en bloc all the involved structures. Also, extended procedures are justified because only R0 resection allows long-term survival.
Department of Thoracic Surgery, Policlinico Umberto I, University of Rome Sapienza, Cattedra di Chirurgia Toracica, Viale del Policlinico, 00166 Rome, Italy. federico.venuta@uniroma1.it
Federico
F
Venuta
Erino A
EA
Rendina
Walter
W
Klepetko
Gaetano
G
Rocco
D019917:Blood Vessel Prosthesis Implantation; D016121:Brachiocephalic Veins / Q000601:surgery; D003952:Diagnostic Imaging; D006801:Humans; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010496:Pericardium / Q000473:pathology; D010791:Phrenic Nerve / Q000473:pathology; D019651:Plastic Surgery Procedures; D012501:Saphenous Vein / Q000601:surgery; D056346:Sternotomy; D013908:Thoracotomy; D013953:Thymus Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*