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Surg Today ; 54(10): 1154-1161, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-38600335

RESUMO

PURPOSE: Thoracoscopic procedures such as video-assisted thoracoscopic surgery (VATS) and robot-assisted thoracoscopic surgery (RATS) have gained popularity for the treatment of thymoma. Accurate preoperative assessments of tumor invasion are crucial to identifying the appropriate surgical approach. Although imaging techniques have been used to predict invasion, a quantifiable method is still needed in clinical practice. METHODS: The ubjects of this retrospective study were 226 patients with thymoma who underwent surgery at our hospital. Clinicopathological data, tumor staging, and recurrence rates were analyzed. Calcification identified through computed tomography (CT) defined the "calcified group" as having a long diameter of ≥ 5 mm. Statistical analyses were performed to assess relationships and survival outcomes. RESULTS: The calcified group had higher Masaoka and World Health Organization classification than the noncalcified group, with significantly higher organ invasion rates. The calcified group also had remarkably higher recurrence rates. CONCLUSION: Thymoma calcification appears to correlate with increased invasiveness and recurrence rates, suggesting its potential as a predictor of tumor stage and prognosis. Despite its retrospective nature and inherent limitations, this study highlights the potential clinical significance of calcification in the surgical planning and prognostication of patients with thymoma.


Assuntos
Calcinose , Invasividade Neoplásica , Estadiamento de Neoplasias , Timoma , Neoplasias do Timo , Tomografia Computadorizada por Raios X , Humanos , Timoma/patologia , Timoma/cirurgia , Timoma/diagnóstico por imagem , Estudos Retrospectivos , Calcinose/patologia , Calcinose/diagnóstico por imagem , Neoplasias do Timo/patologia , Neoplasias do Timo/cirurgia , Masculino , Feminino , Pessoa de Meia-Idade , Prognóstico , Idoso , Cirurgia Torácica Vídeoassistida , Recidiva Local de Neoplasia/patologia , Adulto , Valor Preditivo dos Testes , Idoso de 80 Anos ou mais
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