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Multimodality therapy for thymoma patients with pleural dissemination
http://hdl.handle.net/2237/00030694
http://hdl.handle.net/2237/0003069487153a77-ca6a-4261-9217-435f6c0afba6
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
GTCS2018 (293.4 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2019-09-19 | |||||
| タイトル | ||||||
| タイトル | Multimodality therapy for thymoma patients with pleural dissemination | |||||
| 言語 | en | |||||
| 著者 |
Nakamura, Shota
× Nakamura, Shota× Kawaguchi, Koji× Fukui, Takayuki× Hakiri, Shuhei× Ozeki, Naoki× Mori, Shunsuke× Goto, Masaki× Hashimoto, Kumiko× Ito, Toshinari× Yokoi, Kohei |
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| アクセス権 | ||||||
| アクセス権 | open access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
| 権利 | ||||||
| 言語 | en | |||||
| 権利情報 | “This is a post-peer-review, pre-copyedit version of an article published in [General Thoracic and Cardiovascular Surgery]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s11748-018-01054-7”. | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Thymic malignancy | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Thymoma | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Multidisciplinary treatment | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Pleural dissemination | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Induction chemotherapy | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: Although multidisciplinary treatment is recommended for patients with advanced stage and recurrent thymoma, a detailed treatment strategy remains controversial. We have performed a multimodality therapy of induction chemotherapy (CAMP therapy: cisplatin, doxorubicin, and methylprednisolone) combined with surgery for those patients. We now conducted a retrospective study for investigating the results of this multimodality therapy for thymoma patients with pleural dissemination. Patients and methods: Between 2003 and 2017, 201 patients underwent surgical resection for thymomas. Twenty-six of them received induction CAMP therapy followed by surgery, and 19 of them with pleural dissemination were enrolled in this study. Those cohort were divided into 2 groups by employing surgical procedures: extrapleural pneumonectomy (EPP) group (n = 10) and resection of plural dissemination (RPD) group (n = 9). Results: The median age of all patients was 49 years. Based on the WHO classification, the histological diagnoses of those thymomas were as follows: Type B1 (n = 1), Type B2 (n = 13), and Type B3 (n = 5). Seven patients were complicated with myasthenia gravis (MG). Clinical stage of the 13 primary cases based on the Masaoka classification were stage IV, and the remaining six cases had recurrent pleural dissemination after surgery. Partial response in induction CAMP therapy was obtained in 78.9% (n = 15) of the patients. Adverse events (Grade 4) occurred in 2 patients (10.5%). Postoperative complications (Grade 4) were observed in 2 patients (10.5%). In all of the enrolled patients, the five-year overall survival rate (5Y-OS) and 5-year progression-free survival rate (5Y-PFS) were 76.7% and 55.1%, respectively. In the EPP group, 5Y-OS and 5Y-PFS were 83.3% and 83.3%, respectively, and in the RPD group, 70.0% and 29.6%, respectively. Conclusions: Multidisciplinary treatment using induction CAMP therapy and surgical resection for thymoma patients with pleural dissemination was effective and feasible. Because of the low recurrent rate of disease, young patients with good cardiopulmonary function and well-controlled MG might be good candidates for EPP. | |||||
| 言語 | en | |||||
| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | ファイル公開：2020/06/01 | |||||
| 言語 | ja | |||||
| 出版者 | ||||||
| 出版者 | Springer | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 出版タイプ | ||||||
| 出版タイプ | AM | |||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
| DOI | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | https://doi.org/10.1007/s11748-018-01054-7 | |||||
| ISSN（print） | ||||||
| 収録物識別子タイプ | PISSN | |||||
| 収録物識別子 | 1863-6705 | |||||
| 書誌情報 |
en : General Thoracic and Cardiovascular Surgery 巻 67, 号 6, p. 524-529, 発行日 2019-06 |
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| 著者版フラグ | ||||||
| 値 | author | |||||
