论文部分内容阅读
本文报告了1972～1981年收治的30例胸腺瘤资料。结合临床及病理对诊断标准、组织分型、良恶性判定以及治疗进行了讨论。指出X线检查是诊断的主要方法,某些疑难病例可采用纵隔镜和经皮病灶穿刺活检而确诊。本组胸腺瘤合并重症肌无力占20%,手术后肌无力缓解者占66.6%。全组手术切除率为76.6%,良性胸腺瘤预后好,恶性胸腺瘤切除率低(22.2%),化疗和放疗可作为辅助疗法。
This article reports the data of 30 cases of thymoma admitted from 1972 to 1981. Combined with clinical and pathological criteria, diagnostic criteria, histological type, benign and malignant judgments, and treatment were discussed. It is pointed out that X-ray examination is the main method of diagnosis. Some difficult cases can be diagnosed by mediastinoscopy and percutaneous lesion biopsy. This group of thymoma with myasthenia gravis accounted for 20%, 66.6% of patients with muscle weakness after surgery. The overall surgical resection rate was 76.6%. The prognosis of benign thymoma was good, and the resection rate of malignant thymoma was low (22.2%). Chemotherapy and radiotherapy can be used as adjuvant therapy.