Unexplained dyspnoea
Wolsk, E.; Rossing, K.; Carlsen, J.ør.; Perch, M.; Gustafsson, F.
Ugeskrift for Laeger 182(1)
2019
ISSN/ISBN: 1603-6824 PMID: 31928622 Document Number: 699985
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.