Computed tomographic findings and prognosis in thymic epithelial tumor patients

Satomi Yakushiji, Ukihide Tateishi, Shunji Nagai, Yoshihiro Matsuno, Kazuo Nakagawa, Hisao Asamura, Masahiko Kusumoto

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objective: To determine which computed tomographic findings are associated with high-risk thymic epithelial tumors and a poor prognosis. Methods: Computed tomographic findings of thymic epithelial neoplasms were retrospectively evaluated in 75 patients diagnosed with thymic tumor between January 1997 and October 2003. We analyzed the correlation of the computed tomographic findings, histological subtype according to the World Health Organization classification, and the prognosis. Results: There were 34 with type A ∼B1 tumor and 41 with type B2 ∼ C tumor. On multiple regression analysis, vascular obliteration and a blunt sternum-anterior mediastinum angle were more frequent with thymic carcinoma than with thymoma. On multivariate analysis, pleural effusion and mediastinal fat infiltration on initial computed tomography had a significant impact on survival. Conclusions: Vascular obliteration and a blunt sternum-anterior mediastinum angle were predictive of thymic carcinoma. Pleural effusion and mediastinal fat infiltration were predictive of a poor prognosis.

Original languageEnglish
Pages (from-to)799-805
Number of pages7
JournalJournal of Computer Assisted Tomography
Volume32
Issue number5
DOIs
Publication statusPublished - 2008 Sep
Externally publishedYes

Fingerprint

Thymoma
Thymus Neoplasms
Sternum
Mediastinum
Pleural Effusion
Blood Vessels
Fats
Glandular and Epithelial Neoplasms
Neoplasms
Multivariate Analysis
Tomography
Regression Analysis
Survival
Thymic epithelial tumor

Keywords

  • CT finding
  • Thymic epithelial tumors

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Computed tomographic findings and prognosis in thymic epithelial tumor patients. / Yakushiji, Satomi; Tateishi, Ukihide; Nagai, Shunji; Matsuno, Yoshihiro; Nakagawa, Kazuo; Asamura, Hisao; Kusumoto, Masahiko.

In: Journal of Computer Assisted Tomography, Vol. 32, No. 5, 09.2008, p. 799-805.

Research output: Contribution to journalArticle

Yakushiji, S, Tateishi, U, Nagai, S, Matsuno, Y, Nakagawa, K, Asamura, H & Kusumoto, M 2008, 'Computed tomographic findings and prognosis in thymic epithelial tumor patients', Journal of Computer Assisted Tomography, vol. 32, no. 5, pp. 799-805. https://doi.org/10.1097/RCT.0b013e31815896df
Yakushiji, Satomi ; Tateishi, Ukihide ; Nagai, Shunji ; Matsuno, Yoshihiro ; Nakagawa, Kazuo ; Asamura, Hisao ; Kusumoto, Masahiko. / Computed tomographic findings and prognosis in thymic epithelial tumor patients. In: Journal of Computer Assisted Tomography. 2008 ; Vol. 32, No. 5. pp. 799-805.
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AU - Asamura, Hisao

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N2 - Objective: To determine which computed tomographic findings are associated with high-risk thymic epithelial tumors and a poor prognosis. Methods: Computed tomographic findings of thymic epithelial neoplasms were retrospectively evaluated in 75 patients diagnosed with thymic tumor between January 1997 and October 2003. We analyzed the correlation of the computed tomographic findings, histological subtype according to the World Health Organization classification, and the prognosis. Results: There were 34 with type A ∼B1 tumor and 41 with type B2 ∼ C tumor. On multiple regression analysis, vascular obliteration and a blunt sternum-anterior mediastinum angle were more frequent with thymic carcinoma than with thymoma. On multivariate analysis, pleural effusion and mediastinal fat infiltration on initial computed tomography had a significant impact on survival. Conclusions: Vascular obliteration and a blunt sternum-anterior mediastinum angle were predictive of thymic carcinoma. Pleural effusion and mediastinal fat infiltration were predictive of a poor prognosis.

AB - Objective: To determine which computed tomographic findings are associated with high-risk thymic epithelial tumors and a poor prognosis. Methods: Computed tomographic findings of thymic epithelial neoplasms were retrospectively evaluated in 75 patients diagnosed with thymic tumor between January 1997 and October 2003. We analyzed the correlation of the computed tomographic findings, histological subtype according to the World Health Organization classification, and the prognosis. Results: There were 34 with type A ∼B1 tumor and 41 with type B2 ∼ C tumor. On multiple regression analysis, vascular obliteration and a blunt sternum-anterior mediastinum angle were more frequent with thymic carcinoma than with thymoma. On multivariate analysis, pleural effusion and mediastinal fat infiltration on initial computed tomography had a significant impact on survival. Conclusions: Vascular obliteration and a blunt sternum-anterior mediastinum angle were predictive of thymic carcinoma. Pleural effusion and mediastinal fat infiltration were predictive of a poor prognosis.

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