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Ann Thorac Surg 1985;39:165-169
© 1985 The Society of Thoracic Surgeons

Articles

Recurrence of Thymoma: Clinicopathological Features, Therapy, and Prognosis

Yasumasa Monden, M.D.*, Kazuya Nakahara, M.D., Sogo Iioka, M.D., Satoru Nanjo, M.D., Kiyoshi Ohno, M.D., Yoshitaka Fujii, M.D., Junpei Hashimoto, M.D., Yoichiro Kitagawa, M.D., Akira Masaoka, M.D., Yasunaru Kawashima, M.D.

From the First Department of Surgery, Osaka University Medical School, Osaka, Japan, and the Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan

Accepted for publication March 14, 1984.

* Address reprint requests to Dr. Monden, First Department of Surgery, Osaka University Medical School, Fukushima-ku, Osaka 553, Japan

Factors influencing the recurrence or persistence of thymoma after therapy were investigated in 127 patients with thymoma, including 75 with thymoma and myasthenia gravis. The rate of recurrence or persistence was 19% (24 of 127 patients) overall, 11% (8 of 75 patients) in myasthenic thymoma, and 31% (16 of 52 patients) in nonmyasthenic thymoma. The more advanced the clinical stage, the higher the rate of recurrence or persistence. The recurrence/persistence rate for patients with the same clinical stage was higher in those with nonmyasthenic thymoma (8% in Stage I, 11% in Stage II, 36% in Stage III, and 75% in Stage IV) than in those with myasthenic thymoma (0 in Stage I, 13% in Stage II, 18% in Stage III, and 20% in Stage IV). The prognosis for patients having subtotal resection of tumor was good in myasthenic thymoma (recurrence/persistence rate, 17%) in contrast with nonmyasthenic thymoma (recurrence/persistence rate, 78%). These results suggest that nonmyasthenic thymoma is more malignant than myasthenic thymoma. Postoperative radiotherapy was effective in preventing the recurrence or persistence of thymoma after therapy.




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