Thymic carcinoma staging: Difference between revisions

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*Stage III - Macroscopic invasion into adjacent organs or intrathoracic metastases
*Stage III - Macroscopic invasion into adjacent organs or intrathoracic metastases
*Stage IVA - Pleural or [[pericardial]] implants/dissemination
*Stage IVA - Pleural or [[pericardial]] implants/dissemination
*Stage IVB - Nodal or hematogenous metastases


==GETT Staging System==
==GETT Staging System==

Revision as of 18:58, 21 June 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]

Overview

The staging of thymic carcinoma is based on the Masoka and GETT staging system.[1]

Masaoka TNM Staging System (1999)

Original Masaoka Staging System (1991)

  • Stage I - Macroscopically and microscopically completely encapsulated
  • Stage II - Macroscopic invasion into surrounding the adipose tissue or mediastinal pleura or microscopic invasion into the capsule
  • Stage III - Macroscopic invasion into adjacent organs or intrathoracic metastases
  • Stage IVA - Pleural or pericardial implants/dissemination
  • Stage IVB - Nodal or hematogenous metastases

GETT Staging System

  • Stage IA - Encapsulated, completely resected
  • Stage IB - Macroscopically completely resected but suspicion of mediastinal adhesions or potential capsular invasion at surgery
  • Stage II - Invasive tumor, completely resected
  • Stage IIIA - Invasive tumor, subtotal resection
  • Stage IIIB - Invasive tumor, biopsy alone
  • Stage IVa - Supraclav or pleural met
  • Stage IVb - Distant metastases

References

  1. Masaoka A, Yamakawa Y, Niwa H, Fukai I, Saito Y, Tokudome S; et al. (1994). "Thymectomy and malignancy". Eur J Cardiothorac Surg. 8 (5): 251–3. PMID 8043287.