Хирургическое лечение эпителиальных опухолей тимуса I и II стадии

Хирургическое лечение эпителиальных опухолей тимуса I и II стадии

Автор: Епифанцев Е.А., Грицун В.Ю., Кешвединова А.А., Смирнов А.В., Иванов Ю.В.

Журнал: Клиническая практика @clinpractice

Рубрика: Научные обзоры

Статья в выпуске: 3 т.14, 2023 года.

Бесплатный доступ

Эпителиальные опухоли тимуса - наиболее часто возникающие опухоли переднего средостения, заболеваемость которыми составляет 0,18 на 100 000 населения. Проведён обзор отечественной и зарубежной литературы в базах данных РИНЦ (eLibrary) и Medline (PubMed), посвящённый хирургическому лечению эпителиальных опухолей тимуса I и II стадии. Цель настоящего обзора - осветить проблему выбора оптимального малоинвазивного хирургического доступа при тимэктомии и необходимость проведения лимфодиссекции при эпителиальных опухолях тимуса. В настоящий момент в хирургии эпителиальных опухолей тимуса остаётся нерешённым ряд вопросов, а именно целесообразность предоперационной гистологической верификации опухолевого процесса, выбор оптимального хирургического доступа к области переднего средостения, необходимость выполнения и прогностический эффект от лимфодиссекции, определение необходимого объёма планируемой операции.

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Тимэктомия, тимома, рак тимуса, эпителиальные опухоли тимуса, торакоскопическая хирургия, малоинвазивная хирургия, субксифоидальный доступ

Короткий адрес: https://sciup.org/143180547

IDR: 143180547   |   DOI: 10.17816/clinpract546144

Список литературы Хирургическое лечение эпителиальных опухолей тимуса I и II стадии

  • Engels EA, Pfeiffer RM. Malignant thymoma in the United States: Demographic patterns in incidence and associations with subsequent malignancies. Int J Cancer. 2003;105(4): 546–551. doi: 10.1002/ijc.11099
  • Minervini F, Kocher GJ. When to suspect a thymoma: Clinical point of view. J Thorac Dis. 2020;12(12):7613–7618. doi: 10.21037/jtd-2019-thym-05
  • Engels EA. Epidemiology of thymoma and associated malignancies. J Thorac Oncol. 2010;5(10 Suppl 4):S260–S265. doi: 10.1097/JTO.0b013e3181f1f62d
  • Lee Y, Samarasinghe Y, Patel J, et al. The short and longterm effects of open vs minimally invasive thymectomy in myasthenia gravis patients: A systematic review and meta-analysis. Surg Endosc. 2023;37(5):3321–3339. doi: 10.1007/s00464-022-09757-y
  • Marx A, Ströbel P, Badve SS, et al. ITMIG consensus statement on the use of the WHO histological classification of thymoma and thymic carcinoma: Refined definitions, histological criteria, and reporting. J Thorac Oncol. 2014;9(5):596–611. doi: 10.1097/JTO.0000000000000154
  • Den Bakker MA, Roden AC, Marx A, Marino M. Histologic classification of thymoma: A practical guide for routine cases. J Thorac Oncol. 2014;9(9 Suppl 2):S125–S130. doi: 10.1097/JTO.0000000000000297
  • Padda SK, Yao X, Antonicelli A, et al. Paraneoplastic syndromes and thymic malignancies: An examination of the international thymic malignancy interest group retrospective database. J Thorac Oncol. 2018;13(3):436–446. doi: 10.1016/j.jtho.2017.11.118
  • Conforti F, Pala L, Giaccone G, de Pas T. Thymic epithelial tumors: From biology to treatment. Cancer Treat Rev. 2020; 86:102014. doi: 10.1016/j.ctrv.2020.102014
  • Detterbeck FC, Nicholson AG, Kondo K, et al. The Masaoka- Koga stage classification for thymic malignancies: Clarification and definition of terms. J Thorac Oncol. 2011;6(7 Suppl 3): S1710–S1716. doi: 10.1097/JTO.0b013e31821e8cff
  • Fukui T, Fukumoto K, Okasaka T, et al. Clinical evaluation of a new tumour-node-metastasis staging system for thymic malignancies proposed by the International Association for the Study of Lung Cancer Staging and Prognostic Factors Committee and the International Thymic Malignancy Interest Group. Eur J Cardiothorac Surg. 2016;49(2):574–579. doi: 10.1093/ejcts/ezv389
  • Strange CD, Ahuja J, Shroff GS, et al. Imaging evaluation of thymoma and thymic carcinoma. Front Oncol. 2022;11:810419. doi: 10.3389/fonc.2021.810419
  • Li HR, Gao J, Jin C, Jiang JH, Ding JY. Comparison between CT and MRI in the diagnostic accuracy of thymic masses. J Cancer. 2019;10(14):3208–3213. doi: 10.7150/jca.30240
  • Takahashi K, Al-Janabi NJ. Computed tomography and magnetic resonance imaging of mediastinal tumors. J Magn Reson Imaging. 2010;32(6):1325–1339. doi: 10.1002/jmri.22377
  • Tuan PA, Duc NM. Magnetic resonance imaging characteristics of thymoma in Vietnamese patients with myasthenia gravis in relation to histopathological type and disease staging. Contemp Oncol (Pozn). 2020;24(3):193–199. doi: 10.5114/wo.2020.98861
  • Heeger AP, Ackman JB. Added value of magnetic resonance imaging for the evaluation of mediastinal lesions. Radiol Clin North Am. 2021;59(2):251–277. doi: 10.1016/j.rcl.2020.11.001
  • Mikail N, Khalil A, Rouzet F. Mediastinal masses: 18F-FDG-PET/CT features based on the international thymic malignancy interest group classification. Semin Nucl Med. 2021;51(1):79–97. doi: 10.1053/j.semnuclmed.2020.07.007
  • Toker A, Erus S, Kaba E, et al. Has there been a paradigm shift in mediastinal surgery from open to minimally invasive, and from magnetic resonance imaging (MRI) to positron emission tomography-computerized tomography (PET-CT) in the last decade? Surg Endosc. 2014;28(3):861–865. doi: 10.1007/s00464-013-3233-8
  • Willner J, Zhou F, Moreira AL. Diagnostic challenges in the cytology of thymic epithelial neoplasms. Cancers (Basel). 2022;14(8):2013. doi: 10.3390/cancers14082013
  • Illei PB, Shyu S. Fine needle aspiration of thymic epithelial neoplasms and non-neoplastic lesions. Semin Diagn Pathol. 2020;37(4):166–173. doi: 10.1053/j.semdp.2020.04.006
  • Padda SK, Keijzers M, Wakelee HA. Pretreatment biopsy for thymic epithelial tumors-does histology subtype matter for treatment strategy? J Thorac Dis. 2016;8(8):1895–1900. doi: 10.21037/jtd.2016.06.77
  • Girard N, Ruffini E, Marx A, et al.; ESMO Guidelines Committee. Thymic epithelial tumours: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2015;26(Suppl 5):v40–v55. doi: 10.1093/annonc/mdv277
  • Ruffini E, Filosso PL, Guerrera F, et al. Optimal surgical approach to thymic malignancies: New trends challenging old dogmas. Lung Cancer. 2018;118:161–170. doi: 10.1016/j.lungcan.2018.01.025
  • Solis-Pazmino P, Baiu I, Lincango-Naranjo E, et al. Impact of the surgical approach to thymectomy upon complete stable remission rates in myasthenia gravis: A meta-analysis. Neurology. 2021;97(4):e357–e368. doi: 10.1212/WNL.0000000000012153
  • Li J, Liu Y, Zhang X, et al. Prognostic factors for overall survival after surgical resection in patients with thymic epithelial tumors: A systematic review and meta-analysis. Med (Baltimore). 2022;101(39):e30867. doi: 10.1097/MD.0000000000030867
  • Yano M, Fujii Y, Yoshida J, et al. A phase II study of partial and subtotal thymectomy for thymoma (JART02). World J Surg. 2017;41(8):2033–2038. doi: 10.1007/s00268-017-3990-y
  • Odaka M, Akiba T, Yabe M, et al. Unilateral thoracoscopic subtotal thymectomy for the treatment of stage I and II thymoma. Eur J Cardiothorac Surg. 2010;37(4):824–826. doi: 10.1016/j.ejcts.2009.10.003
  • Xu C, Zhang Q, Li J, et al. Comparison of clinical outcomes and prognosis between thymectomy and thymomectomy in non-myasthenic patients with early-stage thymoma: A systematic review andmeta-analysis. Asian J Surg. 2023; S1015-9584(23)00371-8. doi: 10.1016/j.asjsur.2023.03.063
  • Pulle MV, Asaf BB, Puri HV, et al. Meta-analysis of limited thymectomy versus total thymectomy for masaoka stage i and ii thymoma. J Chest Surg. 2021;54(2):127–136. doi: 10.5090/jcs.20.140
  • Blalock A, Mason MF, Morgan HJ, Riven SS. Myasthenia gravis and tumors of the thymic region: Report of a case in which the tumor was removed. Ann Surg. 1939;110(4):544–561. doi: 10.1097/00000658-193910000-00005
  • Landreneau RJ, Mack MJ, Hazelrigg SR, et al. Video-assisted thoracic surgery: Basic technical concepts and intercostal approach strategies. Ann Thorac Surg. 1992;54(4):800–807. doi: 10.1016/0003-4975(92)91040-g
  • Scorsetti M, Leo F, Trama A, et al. Thymoma and thymic carcinomas. Crit Rev Oncol Hematol. 2016;99:332–350. doi: 10.1016/j.critrevonc.2016.01.012
  • Qi K, Wang B, Wang B, et al. Video-assisted thoracoscopic surgery thymectomy versus open thymectomy in patients with myasthenia gravis: A meta-analysis. Acta Chir Belg. 2016;116(5):282–288. doi: 10.1080/00015458.2016.1176419
  • Batirel HF. Minimally invasive techniques in thymic surgery: A worldwide perspective. J Vis Surg. 2018;4:7. doi: 10.21037/jovs.2017.12.18
  • Okumura M, Shintani Y, Ohta M, et al. Minimally invasive surgical procedures for thymic disease in Asia. J Vis Surg. 2017;3:96. doi: 10.21037/jovs.2017.06.03
  • Allakhverdiev A, Davydov M, Allakhverdieva G, Akhmedov P. Thoracoscopic thymectomy: The method of choise in surgical treatment of non-invasive thymomas. Ann Med Surg (Lond). 2018;42:29–34. doi: 10.1016/j.amsu.2018.12.005
  • Matilla JR, Klepetko W, Moser B. Thymic minimally invasive surgery: State of the art across the world-Europe. J Vis Surg. 2017;3:70. doi: 10.21037/jovs.2017.04.01
  • Yang Y, Dong J, Huang Y. Thoracoscopic thymectomy versus open thymectomy for the treatment of thymoma: A metaanalysis. Eur J Surg Oncol. 2016;42(11):1720–1728. doi: 10.1016/j.ejso.2016.03.029
  • Zieliński M, Kuzdzał J, Szlubowski A, Soja J. Transcervicalsubxiphoid-videothoracoscopic “maximal” thymectomy: Operative technique and early results. Ann Thorac Surg. 2004;78(2): 404–410. doi: 10.1016/j.athoracsur.2004.02.021
  • Refai M, Gonzalez-Rivas D, Guiducci GM, et al. Uniportal video-assisted thoracoscopic thymectomy: The glove-port with carbon dioxide insufflation. Gland Surg. 2020;9(4):879–885. doi: 10.21037/gs-19-521
  • Ooi A, Qiang F. Uniportal video assisted thoracoscopic surgery thymectomy (left approach). J Vis Surg. 2016;2:12. doi: 10.3978/j.issn.2221-2965.2015.12.18
  • Wu CF, Gonzalez-Rivas D, Wen CT, et al. Single-port videoassisted thoracoscopic mediastinal tumour resection. Interact Cardiovasc Thorac Surg. 2015;21(5):644–649. doi: 10.1093/icvts/ivv224
  • Bedetti B, Solli P, Lawrence D, et al. Single port video-assisted thoracoscopic thymectomy. J Vis Surg. 2016;2:149. doi: 10.21037/jovs.2016.08.07
  • Dunning J. Video-assisted thoracoscopic microthymectomy. Ann Cardiothorac Surg. 2015;4(6):550–555. doi: 10.3978/j.issn.2225-319X.2015.11.04
  • Li M, Xu L, Li L, et al. The early perioperative outcomes of subxiphoid approach versus lateral intercostal approach thoracoscopic thymectomy for thymic tumors: A meta-analysis. J Laparoendosc Adv Surg Tech A. 2022;32(3):256–264. doi: 10.1089/lap.2021.0036
  • Mao Y, Lan Y, Cui F, et al. Comparison of different surgical approaches for anterior mediastinal tumor. J Thorac Dis. 2020;12(10):5430–5439. doi: 10.21037/jtd-20-266
  • Chiu CH, Chao YK, Liu YH. Subxiphoid approach for videoassisted thoracoscopic surgery: An update. J Thorac Dis. 2018; 10(Suppl 14):S1662–S1665. doi: 10.21037/jtd.2018.04.01
  • Zieliński M, Rybak M, Wilkojc M, et al. Subxiphoid video-assisted thorascopic thymectomy for thymoma. Ann Cardiothorac Surg. 2015;4(6):564–566. doi: 10.3978/j.issn.2225-319X.2015.10.04
  • Mao T, Zhang X, Yang Y, et al. A uniport subxiphoid approach with a modified sternum retractor is safe and feasible for anterior mediastinal tumors. J Thorac Dis. 2023;15(3):1364–1372. doi: 10.21037/jtd-23-244
  • Kido T, Hazama K, Inoue Y, et al. Resection of anterior mediastinal masses through an infrasternal approach. Ann Thorac Surg. 1999;67(1):263–265. doi: 10.1016/s0003-4975(98)01210-7
  • Пикин О.В., Рябов А.Б., Мартынова Д.Е., Салимов З.М. Малоинвазивные технологии в хирургии вилочковой железы (обзор литературы) // Вестник хирургии имени И.И. Грекова. 2021. Т. 180, № 4. С. 99–105. [Pikin OV, Ryabov AB, Martinova DY, Salimov ZM. Minimally invasive techniques in thymic surgery (review of literature). Grekov’s Bulletin of Surgery. 2021;180(4):99–105. (In Russ)]. doi: 10.24884/0042-4625-2021-180-4-99-105
  • Пикин О.В., Рябов А.Б., Щербакова Н.И., и др. Ретимэктомия субксифоидальным доступом у больной с тимомой, ассоциированной с генерализованной формой миастении // Онкология. Журнал им. П.А. Герцена. 2022;11(1): 50–54. [Pikin OV, Ryabov AB, Shcherbakova NI, et al. Subxiphoid rethymectomy in a female patient with thymoma associated with generalized myasthenia gravis. P.A. Herzen Journal of Oncology. 2022;11(1):50–54. (In Russ). https://doi.org/10.17116/onkolog20221101150] doi: 10.17116/onkolog20221101150
  • Дзидзава И.И., Дмитроченко И.В., Фуфаев Е.Е., и др. Cлучай тимомэктомии из комбинированного доступа // Вестник хирургии имени И.И. Грекова. 2019. Т. 178, № 5. С. 103–106. [Dzidzava II, Dmitrochenko IV, Fufaev EE, et al. The clinical case of thymectomy using combined approaches. Grekov’s Bulletin of Surgery. 2019;178(5):103–106. (In Russ).] doi: 10.24884/0042-4625-2019-178-5-103-106
  • Wang H, Wang M, Xin N, et al. Effect evaluation of subxiphoid and intercostal thymectomy: A meta-analysis and systematic review. Front Surg. 2022;9:925003. doi: 10.3389/fsurg.2022.925003
  • Li J, Qi G, Liu Y, et al. Meta-analysis of subxiphoid approach versus lateral approach for thoracoscopic Thymectomy. J Cardiothorac Surg. 2020;15(1):89. doi: 10.1186/s13019-020-01135-w
  • Kondo K, Monden Y. Lymphogenous and hematogenous metastasis of thymic epithelial tumors. Ann Thorac Surg. 2003;76(6):1859–1865. doi: 10.1016/s0003-4975(03)01017-8
  • Brascia D, de Palma A, Schiavone M, et al. Lymph nodes involvement and lymphadenectomy in thymic tumors: Tentative answers for unsolved questions. Cancers (Basel). 2021;13(20): 5085. doi: 10.3390/cancers13205085
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