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Improved Techniques in Thymectomy

ISADORE KREEL, M.D.; GABRIEL GENKINS, M.D.; KERMIT E. OSSERMAN, M.D.; ELLIOTT JACOBSON, M.D.; IVAN D. BARONOFSKY, M.D., Ph.D.

AMA Arch Surg. 1960;81(2):251-258.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

With the availability of the newer techniques and advances in surgery and anesthesia, the modern surgeon has been called upon to operate on more and more groups of patients whose medical disease presents formidable operative risks. No single group of subjects exemplifies this better than the myasthenic patient undergoing thymectomy. While the indications and selections for the operative approach in myasthenia gravis are still being modified,^1-4 these patients are being operated upon in an effort to increase patient salvage in the group with this syndrome. This controversy will not be presented here, but it is pertinent to mention that a certain proportion of the myasthenic population merits special consideration apart from the existence of their disorder. Recent data⁵ indicate that in the myasthenic patient with thymoma, this tumor has a far higher malignant potential than was previously reported. Castleman⁶ found an incidence of 25% malignancy in thymoma. . . . [Full Text PDF of this Article]

Author Affiliations
New York

From the Myasthenia Gravis Clinic and the Departments of Medicine, Surgery and Anesthesiology of The Mount Sinai Hospital.; Coordinator, Department of Surgery, National Heart Trainee, National Institutes of Health, U.S. Public Health Service (Dr. Kreel). Dr. Sara Welt Fellow-In-Medicine (Dr. Genkins).

Footnotes
Aided in part by Grant from The Myasthenia Gravis Foundation, Inc.

Read at the 17th Annual Meeting of the Central Surgical Association, Chicago, Feb. 19, 1960.

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