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Vol.39 No.1 contents | Japanese/English |
- Case Report -
Six-year Survival after Resection of Advanced Thymic Carcinoma
Susumu Amaya, Hiroshi Saito and Shinji Masuda*Department of Thoracic Surgery, Koseiren Takaoka Hospital, *Department of Pathology, Koseiren Takaoka Hospital
A 64-year-old woman was admitted with a swelling in the neck, sore throat andcough. Chest X-ray film and chest CT revealed a tumor in the upper mediastinum with deviation of the trachea and occlusion of the left innominate vein. Under a diagnosis of invasive thymoma, extended thymectomy and partial resection of the left upper lobe of the lung with resection of the innominate vein was performed. An E-PTFE graft bypass was placed to link the right atrium and the left innominate vein, and 4 small nodules in the upper and lower lobes of the left lung were palpated and removed. Histopathological findings showed primary thymic adenocarcinoma with lung metastasis. After 2 courses of chemotherapy containing CDDP and VP-16, the patient was discharged. She has survived for 6 years without recurrence. Reported cases of long-term survivors after resection of advanced thymic carcinoma are more frequent than in cases of lung cancer, therefore surgical treatment should be selected.
key words: Thymic carcinoma, Adenocarcinoma
Received: August 17, 1998
Accepted: December 14, 1998
JJLC 39 (1): 69-73, 1999
