Clinical features and experience of perioperative managements of thymomas with and without myasthenia gravis / 中华胸心血管外科杂志

Objective To explore different clinical and pathological features of thymomas with and without myasthenia gravis(MG),and accumulate the experience of perioperative managements.Methods Patients with thymoma admitted by our department between June 2010 and June 2016,were retrospectively reviewed.Results Of the 273 patieuts,150 were males and 143 were fenales(median age:48 years).115 of all patients(42.1％) were combined with paraneoplastic diseases.There was no mortality during perioperative period.Video-assisted Thoracoscopic surgery was successfully performed for 246 cases(90.1％).The female thymoma patients with with MG(TMG) were more than those without MG and thymic hyperplasia (53.0％ VS 39.5％,P =0.036).Compared to the thymoma patients without MG and thymic hyperplasia,the TMG was associated with younger age of onset [(46.6 ± 12.9) years VS.(50.6 ± 14.32) years,P =0.026],longer hospital stay [(18.3 ± 9.4)days VS.(14.6 ±5.7) days,P =0.000],higher postoperative complications morbidity(22.0％ VS.11.6％,P =0.027).Although the TMG has a lower recurrence rate,there was no significant difference between the two groups for recurrence rate(0 VS.2％,P =0.274).Conclusion Extended thymectomy should be recommended for thymoma and thymic hyperplasia whether combined with or without paraneoplastic diseases.

The effect of vial type and cocktail quantity on tritium measurement in LSC.

The effect of sample vial type and cocktail quantity on tritium measurement in liquid scintillation counting is studied in this paper. With both high and low level tritium samples, glass vials allow higher counting rates than plastic vials do. We also present detailed analysis of the way to obtain the optimal counting condition by dispensing different quantity of cocktail into sample vials. Results indicate that the optimal counting condition has little relationship with tritium concentration in the sample. The main factor which influences the counting is the quantity of cocktail added into samples. Figure of merit is employed to access the results, which increases as the quantity of cocktail increasing. But when the ratio of cocktail and sample reaches 2.0, increase of ratio makes little contribution to the counts, and the disintegrations per minute comes nearly to be a constant.