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Behandling af tymom og thymuskarcinom

Peter Meidahl Petersen1, Anna Kalhauge2, Bodil Brandt3, Eric Santoni-Rugiu4, Gedske Daugaard1, Jesper Ravn3 & René Horsleben Petersen3 1) Onkologisk Klinik, Rigshospitalet2) Røntgenafdelingen, Rigshospitalet3) Thoraxkirurgisk Afdeling, Rigshospitalet4) Patologiafdelingen, Rigshospitalet

Ugeskr Læger 2020;182:V08190462
Ugeskr Læger 2020;182:V08190462

Peter Meidahl Petersen, Anna Kalhauge, Bodil Brandt, Eric Santoni-Rugiu, Gedske Daugaard, Jesper Ravn & Rene Hornsleben Petersen:

Management of thymomas and thymic carcinomas

Ugeskr Læger 2020;182:V08190462

This review summarises the diagnostics, staging and treatment of thymic epithelial tumours, of which CT is the current primary imaging. The International Association for the Study of Lung Cancer/International Thymic Malignancy Interest Group TNM staging and the WHO histological classifications are described. Surgery done as total thymectomy with video-assisted thoracoscopic surgery in stage I and open sternotomy in larger stages is the primary treatment if possible. Presurgical tumour reduction with chemotherapy and the possibility of adjuvant radiotherapy after R+ resection is described. Radiotherapy or chemotherapy can be considered, if definite surgery is not possible. Relapse is treated after the same principles as primary disease.

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