Unresectable bulky Thymic Cancer rendered operable with Radiation Therapy
Gregory P. Swanson MD 1 and Prashant C. Shah MD2
1Department of Radiation Oncology, Baylor Scott and White Health, Temple,Texas, USA
2Thoracic Surgery, Baylor Scott and White Health, Temple, Texas
*Gregory P. Swanson , Department of Radiation Oncology, Baylor Scott and White Health, Temple, Texas, USA
Figure 1: April 2012- left upper mediastinal/superior sulcus mass. A- axial, B-coronal
Figure 2: August 2016 (4+ years post treatment). A-axial B-coronal. Shrunken calcified mass.
Figure 3: April 2017. As measured at the T10-11 interspace, the bulky left post sulcus mass pre radiation (A-axial, B- coronal)
Figure 4: July 2017. As measured at the T10-11 interspace, the mass after 60 Gy. A (axial): the spleen has fallen back into place. B (coronal). Noted another (untreated) mass in the left upper pleura
Figure 5: Apr 2022 (A axial, B coronal). T10-11 interspace. No evidence of regrowth the bulky left lower lung mass or the upper mediastinal mass. (Spleen was removed at surgery, heart shifted with pneumonectomy). Stomach unopacified. Thickened pleura with stable disease on the left. The right never had disease.
- Rimner A, Yao X, Huang J, Antonicelli A, Ahmad U, Korst RJ, et al. Postoperative Radiation Therapy Is Associated with Longer Overall Survival in Completely Resected Stage II and III Thymoma-An Analysis of the International Thymic Malignancies Interest Group Retrospective Database. J Thorac Oncol. 2016; 11:1785-92. doi: 10.1016/j.jtho.2016.06.011.
- Korst RJ, Bezjak A, Blackmon S, Choi N, Fidias P, Liu G, et al. Neoadjuvant chemoradiotherapy for locally advanced thymic tumors: a phase II, multi-institutional clinical trial. J Thorac Cardiovasc Surg. 2014; 147:36-44, 46.e1. doi: 10.1016/j.jtcvs.2013.08.061.