Bilateral lung and liver hydatid cyst

Girolamo Geraci, Carmelo Sciume', Giuseppe Modica, Francesco Cupido, Cupido, Chiara Lo Nigro, Calbo, Francesco Li Volsi, Antonio Sciuto, Carmelo Sciumè, Giuseppe Modica, Girolamo Geraci, Antonio Sciuto, Chiara Lo Nigro

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Introduction. Thymomas (THs) are rare epithelial tumors of the thymus gland. In this study we report our personal experience in the management and surgical treatment of THs. Case reports. We report two clinical cases treated with combined therapy (surgery followed by adjuvant therapy). Results. Total transternal thymectomy was performed in both patients. The post-operative course was uneventful. The patients received adjuvant radiotherapy and chemotherapy. No relapse has been observed during follow-up. Discussion. THs are usually slowly growing tumors with similar incidence in both sexes. They occur through a wide age range, with a peak in the fifth and sixth decades. Distinctive features reminiscent of the normal thymus make the pathologic diagnosis of THs easy in most cases. Malignant behaviour is indicated by microscopic or macroscopic invasion of the tumor capsule or surrounding organs or by the presence of metastases. Although there is no standardized staging system for thymoma, the one proposed by Masaoka is commonly employed. Total thymectomy is the procedure of choice, even for encapsulated tumors, with carefully exploration of the mediastinum for evidence of ectopic thymic tissue or local invasion. Conclusions. Despite an indolent course and a cytologically bland appearance, all thymic tumors can manifest a malignant behavior. Surgery continues to be the mainstay of treatment, and the ability to achieve complete resection seems to be the most important prognostic factor. Multimodality treatment involving postoperative chemotherapy and radiotherapy appears to increase the rate of complete resection and improves survival in advanced THs.
Original languageEnglish
Pages (from-to)229-233
Number of pages5
JournalIL GIORNALE DI CHIRURGIA
Volume33
Publication statusPublished - 2012

All Science Journal Classification (ASJC) codes

  • Surgery

Fingerprint

Dive into the research topics of 'Bilateral lung and liver hydatid cyst'. Together they form a unique fingerprint.

Cite this