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Low incidence of and mortality from a second malignancy after resection of thymic carcinoma†

発表形態:
原著論文
主要業績:
主要業績
単著・共著:
共著
発表年月:
2019年03月
DOI:
10.1093/icvts/ivy260
会議属性:
指定なし
査読:
有り
リンク情報:

日本語フィールド

著者:
*Masatsugu Hamaji, Atsushi Kawaguchi, Mitsugu Omasa, Tatsuo Nakagawa, Ryota Sumitomo, Cheng-Long Huang, Takuji Fujinaga, Masaki Ikeda, Tsuyoshi Shoji, Hiromichi Katakura, Hideki Motoyama, Toshi Menju, Akihiro Aoyama, Toshihiko Sato, Toyofumi Fengshi Chen-Yoshikawa, Makoto Sonobe, Hiroshi Date
題名:
Low incidence of and mortality from a second malignancy after resection of thymic carcinoma†
発表情報:
Interact Cardiovasc Thorac Surg 巻: 28 号: 3 ページ: 375-379
キーワード:
概要:
Objectives: Previous studies have suggested that a second malignancy often develops after resection of thymoma; however, it remains unknown whether this is applicable to thymic carcinoma. Methods: A retrospective chart review was performed based on our multi-institutional database of resected thymic epithelial tumours between 1991 and 2016. A second malignancy was defined as newly diagnosed after thymic tumour resection. The cumulative incidence of and related death from a second malignancy after thymic and neuroendocrine carcinoma resections were estimated using a competing risk model and were compared to those of patients undergoing a thymoma resection. Results: Two hundred and thirty-eight patients were identified (thymic carcinoma 59; thymoma 179). A second malignancy developed in 1 patient (1.7%) with thymic carcinoma and in 17 patients (9.5%) with thymoma. Deaths from second malignancies were noted in 7 patients with thymoma. There was a tendency towards a lower cumulative incidence of and a lower cumulative death from a second malignancy after thymic carcinoma resection (P = 0.139 and P = 0.20, respectively) than after thymoma resection. The cumulative incidence of a second malignancy in patients with thymic carcinoma was 2.8% at 5 years and at 10 years (8.0% at 5 years and 11.8% at 10 years in patients with thymoma). Conclusions: After resection of thymic and thymic neuroendocrine carcinoma, the probability of developing a second malignancy, as well as mortality from a second malignancy, is very low. A prospective study with a larger sample size is required to validate our results.
抄録:

英語フィールド

Author:
*Masatsugu Hamaji, Atsushi Kawaguchi, Mitsugu Omasa, Tatsuo Nakagawa, Ryota Sumitomo, Cheng-Long Huang, Takuji Fujinaga, Masaki Ikeda, Tsuyoshi Shoji, Hiromichi Katakura, Hideki Motoyama, Toshi Menju, Akihiro Aoyama, Toshihiko Sato, Toyofumi Fengshi Chen-Yoshikawa, Makoto Sonobe, Hiroshi Date
Title:
Low incidence of and mortality from a second malignancy after resection of thymic carcinoma†
Announcement information:
Interact Cardiovasc Thorac Surg Vol: 28 Issue: 3 Page: 375-379
An abstract:
Objectives: Previous studies have suggested that a second malignancy often develops after resection of thymoma; however, it remains unknown whether this is applicable to thymic carcinoma. Methods: A retrospective chart review was performed based on our multi-institutional database of resected thymic epithelial tumours between 1991 and 2016. A second malignancy was defined as newly diagnosed after thymic tumour resection. The cumulative incidence of and related death from a second malignancy after thymic and neuroendocrine carcinoma resections were estimated using a competing risk model and were compared to those of patients undergoing a thymoma resection. Results: Two hundred and thirty-eight patients were identified (thymic carcinoma 59; thymoma 179). A second malignancy developed in 1 patient (1.7%) with thymic carcinoma and in 17 patients (9.5%) with thymoma. Deaths from second malignancies were noted in 7 patients with thymoma. There was a tendency towards a lower cumulative incidence of and a lower cumulative death from a second malignancy after thymic carcinoma resection (P = 0.139 and P = 0.20, respectively) than after thymoma resection. The cumulative incidence of a second malignancy in patients with thymic carcinoma was 2.8% at 5 years and at 10 years (8.0% at 5 years and 11.8% at 10 years in patients with thymoma). Conclusions: After resection of thymic and thymic neuroendocrine carcinoma, the probability of developing a second malignancy, as well as mortality from a second malignancy, is very low. A prospective study with a larger sample size is required to validate our results.


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