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The Annals of Thoracic Surgery, Vol 50, 58-61, Copyright © 1990 by The Society of Thoracic Surgeons
GC Economopoulos, JW Lewis Jr, MW Lee and NA Silverman
Carcinoid tumors arising in the thymus are rare. Since Rosai and Higa in
1972 distinguished these neoplasms from thymomas, fewer than 100 cases have
been reported in the world literature. In a 38-year review (1950 to 1988)
of surgically treated thymic tumors at Henry Ford Hospital, only 7 cases of
thymic carcinoids were identified. These 6 men and 1 woman ranged in age
from 27 to 70 years (mean, 48 years) at diagnosis. Follow-up was available
in all patients with the longest survival being 12 years in 2 patients, and
the shortest, 1 year, in 1. Recurrences and/or metastases developed in 4 of
7 patients between 1 and 9 years after initial resection. Recurrences were
treated by reexcision in addition to radiation treatment and chemotherapy
in 3 patients and reexcision with radiation treatment alone in 1 patient. A
review of the literature along with our experience suggests that thymic
carcinoids have a biological behavior distinct from thymoma in terms of
cell origin, associated syndromes, neoplastic behavior, and prognosis. An
aggressive surgical approach with complete initial excision of the tumor
and of subsequent recurrences, along with radiation and probably
chemotherapy, is the best available treatment today.
ARTICLES
Carcinoid tumors of the thymus
Division of Cardiac and Thoracic Surgery, Henry Ford Hospital, Detroit, Michigan 48202-2689.
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