Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 May 12;13(5):1170.
doi: 10.3390/life13051170.

Current Treatment Approaches for Thymic Epithelial Tumors

Affiliations
Review

Current Treatment Approaches for Thymic Epithelial Tumors

Alfredo Tartarone et al. Life (Basel). .

Abstract

Thymic epithelial tumors (TETs), including thymoma, thymic carcinoma and neuroendocrine tumors, are uncommon tumors that originate from the epithelial cells of the thymus. Nevertheless, despite their rarity, they represent the most common tumor type located in the anterior mediastinum. Therapeutic choices based on staging and histology may include surgery with or without neoadjuvant or adjuvant therapy represented by chemotherapy, radiotherapy or chemo-radiotherapy. For patients with advanced or metastatic TETs, platinum-based chemotherapy remains the standard first-line treatment; however, some new drugs and combinations are currently under evaluation. In any case, proper management of patients with TETs requires a multidisciplinary team approach to personalize care for each patient.

Keywords: thymic carcinoma; thymic epithelial tumors; thymoma.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
Histological classification for thymic carcinoma according to the World Health Organization (WHO) [13].
Figure 2
Figure 2
TNM 8th edition staging system for TETs [14].
Figure 3
Figure 3
Modified Masaoka clinical staging system for thymoma [15].

References

    1. Siesling S., van der Zwan J.M., Izarzugaza I., Jaal J., Treasure T., Foschi R., Ricardi U., Groen H., Tavilla A., Ardanaz E., et al. Rare thoracic cancers, including peritoneum mesothelioma. Eur. J. Cancer. 2012;48:949–960. doi: 10.1016/j.ejca.2012.02.047. - DOI - PubMed
    1. Girard N., Ruffini E., Marx A., Faivre-Finn C., Peters S. Thymic epithelial tumours: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann. Oncol. 2015;26((Suppl. S5)):v40–v55. doi: 10.1093/annonc/mdv277. - DOI - PubMed
    1. Willner J., Zhou F., Moreira A.L. Diagnostic challenges in the cytology of thymic epithelial neoplasms. Cancers. 2022;14:2013. doi: 10.3390/cancers14082013. - DOI - PMC - PubMed
    1. Roden A.C., Yi E.S., Jenkins S.M., Edwards K.K., Donovan J.L., Cassivi S.D., Marks R.S., Garces Y.I., Aubry M.C. Modified Masaoka stage and size are independent prognostic predictors in thymoma and modified Masaoka stage is superior to histopathologic classifications. J. Thorac. Oncol. 2015;10:691–700. doi: 10.1097/JTO.0000000000000482. - DOI - PubMed
    1. Singhal S., Hellyer J., Ouseph M.M., Wakelee H.A., Padda S.K. Autoimmune disease in patients with advanced thymic epithelial tumors. JTO Clin. Res. Rep. 2022;3:100323. - PMC - PubMed

LinkOut - more resources