Chinese guideline for clinical diagnosis and treatment of thymic epithelial tumors (2021 Edition) / 中华肿瘤杂志

Thymic tumor is a relatively rare type of thoracic cancer, which is pathologically-classified as thymic epithelial tumors by World Health Organization (WHO), including thymoma and thymic carcinoma. The incidence of thymic epithelial tumors in China is about 4.09 per million, which is slightly higher than that in European and American countries. For surgically-resectable thymic epithelial tumors, complete resection with or without postoperative radiotherapy or chemotherapy is preferred. For advanced unresectable disease, conventional radiotherapy and chemotherapy is the mainstream treatment but lack of standard first-line and second-line regimens. In recent years, targeted drugs and the immune checkpoint inhibitors have gradually exhibited certain therapeutic prospect in this subset of tumor. Since there was no guideline regarding thymic epithelial tumor released in China, Multidisciplinary Committee on Oncology, Chinese Physicians Association analyze, summarize and discuss the relevant research data for the diagnosis, treatment and prognosis of thymic epithelial tumors, and formulate the "Chinese guidelines for clinical diagnosis and treatment of thymic epithelial tumors (2021 Edition)" for clinicians' reference.

Tratamiento quirúrgico de los tumores de la glándula tiroides / Surgical processing of the tiroides tumors of glandula

Por su relativa baja frecuencia y la prolongada evolución del cáncer, la experiencia de cualquier cirujano o clínico endcrinolóogico es limitada y el tratamiento despierta siempre muchas controversias. La decisión respecto a la intervención quirúrgica y el tratamiento con grupo de enfermos que, incluso, podrían extenderse a varias generaciones. El estudio de la patología de la glándula tiroides nos dará un cuidadoso examen macroscópico y microscópico que nos proporcionará una importante información pronóstica y diagnóstica muy útil en el tratamiento clínico del paciente. Es importante el conocimiento de la patología de la glándula como la tiroiditis aguda y sunaguda, tiroiditis de Tiedel, tiroiditis de Hashimoto, enf. de Graves, etc; las lesiones tiroideas por radiación, quistes intratiroideos, quistes del conducto tireogloso y los cánceres tiroideos...