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Recurrent
Disease
(THYM-4)
Recurrent
Disease
(THYM-4)
a Patients with thymoma should be evaluated clinically for signs of myasthenia gravis and other paraneoplastic syndromes with appropriate workup and treatment.
h R0 = no residual tumor, R1 = microscopic residual tumor, R2 = macroscopic residual tumor.
i Principles of Radiation Therapy (THYM-B).
j Decisions about adjuvant radiation therapy (RT) in this setting should be based on multidisciplinary evaluation.
k Principles of Systemic Therapy (THYM-C).
l There is a diversity of opinion on treatment approach. Ruffini E, et al. Eur J Cardiothorac Surg 2019;55:601-609.
m MRI is an appropriate alternative to CT in certain clinical situations.
n The duration for surveillance has not been established.
NCCN胸腺瘤和胸腺癌指南导航
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