» Articles » PMID: 31413632

Optimal Management of Thymic Malignancies: Current Perspectives

Overview
Publisher Dove Medical Press
Specialty Oncology
Date 2019 Aug 16
PMID 31413632
Citations 13
Authors
Affiliations
Soon will be listed here.
Abstract

Thymic epithelial tumors (TETs) belong to orphan oncology. The incidence of TETs is about 1.3-3.2 cases per million worldwide. Following pathology, evolution and prognosis are variable. The World Health Organization classification distinguishes thymomas and thymic carcinomas. TETs are composed of thymic epithelial tumoral cells and normal lymphocytes. The mean age at diagnosis is 50-60 years-old. There are no identified risk factors. TETs are frequently associated with paraneoplastic syndromes as myasthenia gravis. The complete R surgical resection is the most significant prognosis factor on survival. In 2010, the French National Institute of Cancer labeled the RYTHMIC network as a specific tumor board including thoracic surgeons, oncologist, and radiation therapist to define standard of care for the management of TETs. The aim of the review was to update knowledge to optimize the standard of care.

Citing Articles

Thymic Carcinoma Presenting as a Mediastinal Mass Resembling a Cardiac Tumor.

Doreswamy S, Mishra S, Venigalla T, Al Turaihi Z, Sekhar S Cureus. 2024; 16(5):e61455.

PMID: 38947614 PMC: 11214866. DOI: 10.7759/cureus.61455.


Clinical Outcomes of Thymic Carcinoma: The Role of Radiotherapy Combined with Multimodal Treatments.

Yang G, Lee C, Kim E, Lee C, Hong M, Park B Cancers (Basel). 2023; 15(8).

PMID: 37190190 PMC: 10136483. DOI: 10.3390/cancers15082262.


Thymoma and Thymic Carcinoma: Surgical Resection and Multidisciplinary Treatment.

Zhang Y, Lin D, Aramini B, Yang F, Chen X, Wang X Cancers (Basel). 2023; 15(7).

PMID: 37046614 PMC: 10093507. DOI: 10.3390/cancers15071953.


Diagnostic value of apparent diffusion coefficient in predicting pathological T stage in patients with thymic epithelial tumor.

Chang C, Lin C, Huang L, Chuang M, Lu Y, Huang W Cancer Imaging. 2022; 22(1):56.

PMID: 36199129 PMC: 9533584. DOI: 10.1186/s40644-022-00495-x.


Thymic Carcinomas-A Concise Multidisciplinary Update on Recent Developments From the Thymic Carcinoma Working Group of the International Thymic Malignancy Interest Group.

Roden A, Ahmad U, Cardillo G, Girard N, Jain D, Marom E J Thorac Oncol. 2022; 17(5):637-650.

PMID: 35227908 PMC: 11080660. DOI: 10.1016/j.jtho.2022.01.021.


References
1.
Refaely Y, Simansky D, Paley M, Gottfried M, Yellin A . Resection and perfusion thermochemotherapy: a new approach for the treatment of thymic malignancies with pleural spread. Ann Thorac Surg. 2001; 72(2):366-70. DOI: 10.1016/s0003-4975(01)02786-2. View

2.
Palmieri G, Montella L, Martignetti A, Muto P, Di Vizio D, De Chiara A . Somatostatin analogs and prednisone in advanced refractory thymic tumors. Cancer. 2002; 94(5):1414-20. DOI: 10.1002/cncr.10374. View

3.
Tomita M, Matsuzaki Y, Edagawa M, Maeda M, Shimizu T, Hara M . Correlation between tumor angiogenesis and invasiveness in thymic epithelial tumors. J Thorac Cardiovasc Surg. 2002; 124(3):493-8. DOI: 10.1067/mtc.2002.124389. View

4.
Engels E, Pfeiffer R . Malignant thymoma in the United States: demographic patterns in incidence and associations with subsequent malignancies. Int J Cancer. 2003; 105(4):546-51. DOI: 10.1002/ijc.11099. View

5.
Kondo K, Monden Y . Therapy for thymic epithelial tumors: a clinical study of 1,320 patients from Japan. Ann Thorac Surg. 2003; 76(3):878-84; discussion 884-5. DOI: 10.1016/s0003-4975(03)00555-1. View