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Ann Thorac Surg 1978;25:99-106
© 1978 The Society of Thoracic Surgeons
Departments of Thoracic Surgery and Pathology I, Sahlgren's Hospital, University of Göteborg, Gothenburg, Sweden.
Accepted for publication June 21, 1977.
* Address reprint requests to Dr. Larsson, Thoracic Surgical Clinic, Sahlgren's Hospital, 413 45 Gothenburg, Sweden
Among 82 patients with a tumor in the thymic region, 17 had a lesion that fulfilled the criteria for Hodgkin's disease of the thymus; the histopathological differentiation of this entity from thymomas is discussed. All patients received surgical treatment and postoperative radiotherapy. After a mean observation time of 10 years there was no local recurrence and no death due to the disease, though 3 deaths were caused by the treatment. New clinical manifestations occurred in 3 of the 14 long-term survivors; they were treated successfully by operation or irradiation.
A very aggressive surgical approach involving extirpation of all tumor tissue, extensive excision of the surrounding tissues and adjacent lymph nodes, and supplementary radiotherapy seems to be the treatment of choice.
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