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Feasibility of multimodality therapy including extended resections in stage IVA thymoma.

Feasibility of multimodality therapy including extended resections in stage IVA thymoma. Research Abstract Details 

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  • Feasibility of multimodality therapy including extended resections in stage IVA thymoma. Abstract Text:

    james huangJames Huang,nabil p rizkNabil P Rizk,william d travisWilliam D Travis,venkatraman e seshanVenkatraman E Seshan,manjit s bainsManjit S Bains,joseph dycocoJoseph Dycoco,robert j downeyRobert J Downey,raja m floresRaja M Flores,bernard j parkBernard J Park,valerie w ruschValerie W Rusch,

    OBJECTIVE: Extended resections for advanced-stage thymomas are not commonly performed because of the potential morbidity in the face of unclear survival or palliative benefit. We reviewed our experience with multimodality treatment for Masaoka stage IVA thymomas for feasibility and outcomes. METHODS: We conducted a retrospective review of a single-institution surgical database. Data included patient demographics, preoperative staging and treatment, perioperative events, pathologic findings, and postoperative outcomes. RESULTS: During the period from 1996 to 2006, 18 patients who had Masaoka stage IVA thymoma underwent surgical resection. All patients received preoperative chemotherapy. Four patients with extensive pleural involvement underwent concomitant extrapleural pneumonectomy and postoperative hemithoracic radiation. Complete resection was achieved in 12 (67%) patients. There was no operative mortality. With a median follow-up of 32.2 months (range 1.4-129.9 months), 3-year, 5-year, and 10-year survivals were 91%, 78%, and 65%, respectively, and median survival has not yet been reached. CONCLUSION: Multimodality therapy including extended surgical resection can be performed in select patients with stage IVA thymoma with low morbidity and mortality and can result in excellent long-term survival.

    Feasibility of multimodality therapy including extended resections in stage IVA thymoma. Publishing Authors By Initials

    j huangJ Huang,np rizkNP Rizk,wd travisWD Travis,ve seshanVE Seshan,ms bainsMS Bains,j dycocoJ Dycoco,rj downeyRJ Downey,rm floresRM Flores,bj parkBJ Park,vw ruschVW Rusch,

    For similar abstracts research abstracts see: abstracts research

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    Feasibility of multimodality therapy including extended resections in stage IVA thymoma. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: The Journal of thoracic and cardiovascular surgery

    VOLUME: 134

    Page Numbers: 1477-83; discussion 1483-4

    Journal Abbreviation: J. Thorac. Cardiovasc. Surg.

    ISSN: 1097-685X

    DAY: 26

    MONTH: 10

    YEAR: 2007

    Feasibility of multimodality therapy including extended resections in stage IVA thymoma. Information

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    LANGUAGE: eng

    NlmUniqueID: 376343

    Feasibility of multimodality therapy including extended resections in stage IVA thymoma. Keywords Mesh Terms:

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    AFFILIATION: Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: J Thorac Cardiovasc Surg

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