Thymoma is the most common tumor in the anterior mediastinum (50% in adults). This review presents an update of thymoma treatment, commonly based on the Masaoka clinical staging system. The best treatment option is complete resection with no adjuvant approach in early stages and complete response. For incomplete resection, postoperative radiotherapy is recommended (5-year survival: 50-60%). For unresectable disease, concurrent chemoradiotherapy is performed. In conclusion, high technology (3D radiotherapy, 4D radiotherapy, intensity-modulated radiotherapy, image-guided radiotherapy and computed tomography fusion with PET scan) optimizes tumor target definition and provides dose escalation.
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Fdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Serpico, D.
Trama, A.
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Fdn IRCCS Ist Nazl Tumori, Evaluat Epidemiol Unit, I-20133 Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Trama, A.
Haspinger, E. R.
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Fdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Haspinger, E. R.
Agustoni, F.
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Fdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Agustoni, F.
Botta, L.
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Fdn IRCCS Ist Nazl Tumori, Evaluat Epidemiol Unit, I-20133 Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Botta, L.
Berardi, R.
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Univ Politecn Marche, Dept Med Oncol, Ancona, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Berardi, R.
Palmieri, G.
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Univ Naples Federico II, Dept Mol & Clin Endocrinol & Oncol, Naples, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Palmieri, G.
Zucali, P.
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Humanitas Canc Ctr, Dept Oncol & Hematol, Rozzano, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Zucali, P.
Gallucci, R.
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Fdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Gallucci, R.
Broggini, M.
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IRCCS Mario Negri, Mol Pharmacol Lab, Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Broggini, M.
Gatta, G.
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Fdn IRCCS Ist Nazl Tumori, Evaluat Epidemiol Unit, I-20133 Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Gatta, G.
Pastorino, U.
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Fdn IRCCS Ist Nazl Tumori, Dept Thorac Surg, I-20133 Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Pastorino, U.
Pelosi, G.
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Fdn IRCCS Ist Nazl Tumori, Dept Pathol, I-20133 Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
Pelosi, G.
de Braud, F.
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Fdn IRCCS Ist Nazl Tumori, Dept Med Oncol, I-20133 Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
de Braud, F.
Garassino, M. C.
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Fdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, ItalyFdn IRCCS Ist Nazl Tumori, Thorac Oncol Unit, Dept Med Oncol, I-20133 Milan, Italy
机构:
St Louis Univ, Sch Med, 1402 S Grand Blvd, St Louis, MO 63104 USASt Louis Univ, Sch Med, 1402 S Grand Blvd, St Louis, MO 63104 USA
Tyker, Albina
Franco, Joel
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St Louis Univ, Dept Otolaryngol, 3665 Vista Ave, St Louis, MO 63110 USASt Louis Univ, Sch Med, 1402 S Grand Blvd, St Louis, MO 63104 USA
Franco, Joel
Massa, Sean T.
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Washington Univ, Dept Otolaryngol, 1 Barnes Jewish Hosp Plaza, St Louis, MO 63110 USASt Louis Univ, Sch Med, 1402 S Grand Blvd, St Louis, MO 63104 USA
Massa, Sean T.
Desai, Shaun C.
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机构:
Johns Hopkins Univ, Sch Med, Dept Otolaryngol, Div Facial Plast & Reconstruct Surg, 601 N Caroline S4, Baltimore, MD 21287 USASt Louis Univ, Sch Med, 1402 S Grand Blvd, St Louis, MO 63104 USA
Desai, Shaun C.
Walen, Scott G.
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St Louis Univ, Dept Otolaryngol, 3665 Vista Ave, St Louis, MO 63110 USASt Louis Univ, Sch Med, 1402 S Grand Blvd, St Louis, MO 63104 USA
机构:
Univ Vita Salute San Raffaele, San Raffaele Hosp, Dept Thorac Surg, Via Olgettina 60, I-20132 Milan, ItalyUniv Vita Salute San Raffaele, San Raffaele Hosp, Dept Thorac Surg, Via Olgettina 60, I-20132 Milan, Italy
Carretta, Angelo
Ciriaco, Paola
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Univ Vita Salute San Raffaele, San Raffaele Hosp, Dept Thorac Surg, Via Olgettina 60, I-20132 Milan, ItalyUniv Vita Salute San Raffaele, San Raffaele Hosp, Dept Thorac Surg, Via Olgettina 60, I-20132 Milan, Italy
Ciriaco, Paola
Muriana, Piergiorgio
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Univ Vita Salute San Raffaele, San Raffaele Hosp, Dept Thorac Surg, Via Olgettina 60, I-20132 Milan, ItalyUniv Vita Salute San Raffaele, San Raffaele Hosp, Dept Thorac Surg, Via Olgettina 60, I-20132 Milan, Italy
Muriana, Piergiorgio
Bandiera, Alessandro
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Univ Vita Salute San Raffaele, San Raffaele Hosp, Dept Thorac Surg, Via Olgettina 60, I-20132 Milan, ItalyUniv Vita Salute San Raffaele, San Raffaele Hosp, Dept Thorac Surg, Via Olgettina 60, I-20132 Milan, Italy
Bandiera, Alessandro
Negri, Giampiero
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Univ Vita Salute San Raffaele, San Raffaele Hosp, Dept Thorac Surg, Via Olgettina 60, I-20132 Milan, ItalyUniv Vita Salute San Raffaele, San Raffaele Hosp, Dept Thorac Surg, Via Olgettina 60, I-20132 Milan, Italy
机构:
Univ Calif San Francisco, UCSF Helen Diller Family Comprehens Canc Ctr, Thorac Oncol Program, San Francisco, CA 94115 USAUniv Calif San Francisco, UCSF Helen Diller Family Comprehens Canc Ctr, Thorac Oncol Program, San Francisco, CA 94115 USA