版權(quán)說明:本文檔由用戶提供并上傳,收益歸屬內(nèi)容提供方,若內(nèi)容存在侵權(quán),請(qǐng)進(jìn)行舉報(bào)或認(rèn)領(lǐng)
文檔簡介
1、Clinic Staging of Thymic Tumors,,Thymic Tumors,Rare diseasesRemain localized to the mediastinum in many casesOften indolent progressionMay be locally aggressiveDissemination within the chestDistant metastases unusua
2、lLymphatic spread unusual,No official stage classification by UICC(Union for International Cancer Control) and AJCC(American Joint Committee on Cancer)Various classification (Masaoka, modified Masaoka, NETT,TNM)ITMI
3、G(International Thymic Malignancy Interesting Group) has chosen to use the Masaoka-Koga stage classification system, consistent with what has been adopted most broadly.(2011.02).,Thymoma Staging System,Stage D
4、efinitionI Grossly and microscopically completely encapsulated tumor II a Microscopic transcapsular invasion b Macroscopic invasion into thymic or surrounding fatty
5、tissue, or grossly adherent to but not breaking through mediastinal pleura or pericardiumIII Macroscopic invasion into neighboring organ (i.e. pericardiu
6、m, great vessel or lung)IV a Pleural or pericardial metastases b Lymphogenous or hematogenous metastasis,Masaoka-Koga staging system,Grossly and microscopically
7、completely encapsulated tumor This includes tumors with invasion into but not through the capsuleIf capsule is partially absent - should not be interpreted as invasion,Stage I,,Microscopic transcapsular invasion I
8、f there is limited microscopic extension into tissues surrounding the capsule the tumor should be classified as stage IIa, minimally invasive,Stage IIa,,Gross visual tumor extension into normal thymus or perithymic fat s
9、urrounding the thymoma (microscopically confirmed),Stage IIb,Adherence to pleura or pericardium making removal of these structures necessary during resection, with microscopic confirmation of perithymic invasion but wit
10、hout microscopic extension into or through the mediastinal pleura or into the fibrous layer of the pericardium,Stage IIb,This includes extension of the primary tumor to any of the following tissues:Microscopic involvem
11、ent of mediastinal pleura (either partial or penetrating the elastin layer)Microscopic involvement of the pericardium (either partial in the fibrous layer or penetrating through to the serosal layer),Stage III,Microscop
12、ically confirmed direct penetration into the outer elastin layer of the visceral pleura or into the lungInvasion into the phrenic or vagus nerves (microscopically confirmed, adherence alone is not sufficient)Invasion i
13、nto or penetration through major vascular structures (microscopically confirmed),Stage III,Microscopically confirmed nodules, separate from the primary tumor, involving the visceral or parietal pleural surfaces, or the p
14、ericardial or epicardial surfaces,Stage IVa,Any nodal involvement (e.g. anterior mediastinal, intrathoracic, low/anterior cervical nodes, any other extrathoracic nodes)Distant metastases (i.e. extrathoracic and outside
15、 the cervical perithymic region) or pulmonary parenchymal nodules (not a pleural implant),Stage IVb,胸腺瘤的分期,I期 腫瘤局限在胸腺內(nèi),肉眼及鏡下均無包膜浸潤II期 IIa期 腫瘤鏡下超出胸膜包膜 IIb期 侵犯鄰近脂肪組織,但未侵犯至縱隔胸膜III期 腫瘤侵犯鄰近組織
溫馨提示
- 1. 本站所有資源如無特殊說明,都需要本地電腦安裝OFFICE2007和PDF閱讀器。圖紙軟件為CAD,CAXA,PROE,UG,SolidWorks等.壓縮文件請(qǐng)下載最新的WinRAR軟件解壓。
- 2. 本站的文檔不包含任何第三方提供的附件圖紙等,如果需要附件,請(qǐng)聯(lián)系上傳者。文件的所有權(quán)益歸上傳用戶所有。
- 3. 本站RAR壓縮包中若帶圖紙,網(wǎng)頁內(nèi)容里面會(huì)有圖紙預(yù)覽,若沒有圖紙預(yù)覽就沒有圖紙。
- 4. 未經(jīng)權(quán)益所有人同意不得將文件中的內(nèi)容挪作商業(yè)或盈利用途。
- 5. 眾賞文庫僅提供信息存儲(chǔ)空間,僅對(duì)用戶上傳內(nèi)容的表現(xiàn)方式做保護(hù)處理,對(duì)用戶上傳分享的文檔內(nèi)容本身不做任何修改或編輯,并不能對(duì)任何下載內(nèi)容負(fù)責(zé)。
- 6. 下載文件中如有侵權(quán)或不適當(dāng)內(nèi)容,請(qǐng)與我們聯(lián)系,我們立即糾正。
- 7. 本站不保證下載資源的準(zhǔn)確性、安全性和完整性, 同時(shí)也不承擔(dān)用戶因使用這些下載資源對(duì)自己和他人造成任何形式的傷害或損失。
最新文檔
- 心包胸腺瘤
- 胸腺瘤于主任
- 胸腺瘤護(hù)理ppt
- 胸腺瘤護(hù)理ppt課件
- 胸腺瘤護(hù)理查房
- 胸腺瘤圍手術(shù)期護(hù)理
- 胸腺瘤WHO病理分型和Maosaoka分期與重癥肌無力的關(guān)系.pdf
- 胸腺增生和胸腺瘤的CT及預(yù)后比較.pdf
- 非侵襲性胸腺瘤臨床路徑
- Ⅲ期胸腺瘤預(yù)后因素分析.pdf
- 胸腺瘤的診斷與外科治療
- 胸腺瘤高雙慶ppt課件
- 胸腺瘤與重癥肌無力
- 胸腺瘤的診斷和外科治療
- 胸腺瘤病理學(xué)和伴胸腺瘤重癥肌無力臨床診治的研究.pdf
- 非侵襲性胸腺瘤臨床路徑
- 469例胸腺瘤患者臨床分析.pdf
- 174例胸腺瘤的診治分析.pdf
- 151例胸腺瘤患者的分型、分期與手術(shù)方式之間的關(guān)系及預(yù)后因素分析.pdf
- 輔助放療對(duì)Ⅱ期胸腺瘤的價(jià)值.pdf
評(píng)論
0/150
提交評(píng)論