Annals of Surgical Oncology

, Volume 20, Issue 9, pp 2958–2963 | Cite as

Multicenter Institutional Experience of Surgically Resected Thymic Epithelial Tumors (TETs): An Observational Report on Behalf of F.O.N.I.C.A.P. (Forza Operativa Nazionale Interdisciplinare Contro il Cancro del Polmone)

  • Giovenzio Genestreti
  • Luca Ampollini
  • Marco Angelo Burgio
  • Luigi Rolli
  • Stefano Sanna
  • Emanuela Scarpi
  • Manuela Monti
  • Luca Burgio Salvatore
  • Luciana Giannone
  • Antonio Santo
  • Maurizio Mezzetti
  • Claudia Casanova
  • Roberta Buosi
  • Michele Rusca
  • Dino Amadori
  • Giampaolo Gavelli
Endocrine Tumors



This multicenter analysis evaluated patient outcome and clinical pathologic features of thymic epithelial tumors after complete surgical resection and adjuvant treatment.


Histologic classification and clinical staging were performed according to WHO classification and Masaoka staging system, respectively.


We analyzed 62 patients, 20 (32 %) of whom had myasthenia at diagnosis. Clinical and pathologic staging was as follows: 31 (50 %) and 30 (48 %) patients had stage I disease, 19 (30 %) and 22 (35 %) stage II, 5 (8 %) and 3 (6 %) stage III, 2 (4 %) and 2 (3 %) stage IVa, and 5 (8 %) and 5 (8 %) stage IVb, respectively. Histologic examination revealed 11 (19%) type A tumors, 19 (30%) type AB tumors, 7 (12 %) type B1 tumors, 11 (17 %) type B2 tumors, 11 (17 %) type B3 tumors, and 3 (5 %) type C tumors. Adjuvant therapies comprised chemotherapy in 3 (5 %) patients and radiotherapy in 16 (26 %) patients. Median follow-up was 71 months (range 1–145). DFS and OS at 48, 60, and 72 months were 89 and 89 %, 86 and 97 %, and 95% and 92%, respectively. Myasthenia at the onset of disease (P = 0.18 for DFS; P = 0.97) and tumor size >5 cm (P = 0.94 for DFS; P = 0.56) were not prognostic factors.


TETs are rare and indolent tumors. Complete surgical resection followed by adjuvant therapies, such as chemotherapy and/or radiotherapy, in patients at risk of recurrence show very good DFS and OS results, even in cases with radically resected pleural-pulmonary metastases.


Overall Survival Thymoma Thymic Carcinoma Thymic Epithelial Tumor Masaoka Stage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The authors thank GIPO (Gruppo Interdisciplinare di Pneumo-Oncologia) for coordinating the collection of clinical data. They also thank Ursula Elbling for editing this manuscript.


The authors have no conflicts of interest or financial ties to disclose.


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Copyright information

© Society of Surgical Oncology 2013

Authors and Affiliations

  • Giovenzio Genestreti
    • 1
  • Luca Ampollini
    • 2
  • Marco Angelo Burgio
    • 3
  • Luigi Rolli
    • 2
  • Stefano Sanna
    • 4
  • Emanuela Scarpi
    • 5
  • Manuela Monti
    • 5
  • Luca Burgio Salvatore
    • 3
  • Luciana Giannone
    • 6
  • Antonio Santo
    • 6
  • Maurizio Mezzetti
    • 7
  • Claudia Casanova
    • 8
  • Roberta Buosi
    • 9
  • Michele Rusca
    • 2
  • Dino Amadori
    • 3
  • Giampaolo Gavelli
    • 10
  1. 1.Department of Clinical OncologyCervesi HospitalCattolicaItaly
  2. 2.Department of Thoracic SurgeryUniversity HospitalParmaItaly
  3. 3.Department of Medical OncologyIRCCS Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST-IRCCS)MeldolaItaly
  4. 4.Department of Thoracic SurgeryMorgagni-Pierantoni HospitalForlìItaly
  5. 5.Unit of Biostatistics and Clinical TrialsIRST-IRCCSMeldolaItaly
  6. 6.Department of Medical OncologyUniversity HospitalVeronaItaly
  7. 7.Department of Thoracic SurgeryS. Carlo Borromeo HospitalMilanItaly
  8. 8.Department of Medical OncologySanta Maria delle Croci HospitalRavennaItaly
  9. 9.Department of Clinical OncologyMaggiore della Carità HospitalNovaraItaly
  10. 10.Radiology UnitIRST-IRCCSMeldolaItaly

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