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Ann Thorac Surg 2001;72:203-207
© 2001 The Society of Thoracic Surgeons

Original article: general thoracic

Thymoma: trends over time

Katrina H. Moore, MBBSa, Paul R. McKenzie, FRCPAb, Catherine W. Kennedy, RMRAa, Brian C. McCaughan, FRACSa a Cardiothoracic Surgical Unit, Department of Surgery, University of Sydney, Royal Prince Alfred, Concord and Strathfield Private Hospitals, Sydney, Australia
b Department of Anatomical Pathology, Royal Prince Alfred Hospital, Sydney, Australia

Accepted for publication March 13, 2001.

Address reprint requests to Dr Moore, 127 Darling St, Balmain, NSW 2041, Australia
e-mail: moore127{at}bigpond.net.au

Background. This is a review of a series of patients who presented with thymoma over the most recent 20-year period. Changes and trends in disease patterns were documented.

Methods. Data were collated retrospectively but all pathology slides were reviewed. Survival functions were estimated using the Kaplan-Meier method.

Results. Seventy-one patients had a partial or total thymectomy during this period for a thymoma. Average age was 55 years. Twenty-three patients (32%) had myaesthenia gravis. Eighteen patients (25%) were asymptomatic. Thirty-three patients (47%) had stage 1 disease. Complete resection was achieved in 60 patients (85%). Five-year survival was 88%. Fifty percent of patients with myesthenia gravis showed improvement in symptoms.

Conclusions. Five- and 10-year survival rates in this study are better than in other series. We attribute this to an increasing number of patients with stage 1 and stage 2 disease, particularly those with myasthenia gravis who now have screening computer tomography, and also to the surgical intent of aiming to achieve complete resection even if excision of adjacent tissue is required.




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