05 Mesotelioma pleural maligno y timoma

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Autor/a Dra. Pilar Lianes V Jornada de Revisión del Congreso Mundial de Cáncer de Pulmón. ARCO MEDITERRANEO. Valencia 8-Nov-2013

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Diagnostics Problems

Thymoma and Thymic Carcinoma:

Differences

Stages at presentation

Paraneoplastic syndromes in thymic carcinoma rarely

IHC differences:

EGFR more common in thymoma

C-kit more common in thymic carcinoma

Poorer prognosis of thymic carcinoma

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Summary Thymic

Tumors Thymoma and Thymic Carcinoma are unique entities

Both are sensitive to broad range of chemotherapeutic agents

Anthracycline regimens associated with higher response rates in Thymoma

In Stage III Disease, radiation improves PFS but not OS

We need to better identify the “targets” for targeted therapy

Always consider multidisciplinary aproach

The present study indicated that

appropriately selected patients

who underwent radical P/D had

lower perioperative morbidity

and mortality with similar, if not

superior, long-term survival

compared to EPP.

QUÉ HEMOS APRENDIDO EN EL

MUNDIAL 2013 de Mesoteliomas

Que existe un grupo de trabajo internacional muy activo interesado en su diagnóstico y tratamiento (IMIG)

Que las sesiones han sido muy ricas en contenido y discusión

Que la prevención epidemiológica aún es posible

Que tenemos esperanza en drogas prometedoras

Que los pacientes se merecen nuestro esfuerzo multidisciplinar

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