{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T13:19:07Z","timestamp":1794057547532,"version":"4.8.0"},"reference-count":39,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["annalsthoracicsurgery.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Annals of Thoracic Surgery"],"published-print":{"date-parts":[[2010,1]]},"DOI":"10.1016\/j.athoracsur.2009.08.074","type":"journal-article","created":{"date-parts":[[2009,12,18]],"date-time":"2009-12-18T10:07:44Z","timestamp":1261130864000},"page":"245-252","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":112,"title":["Thirty-Five\u2013Year Follow-Up Analysis of Clinical and Pathologic Outcomes of Thymoma Surgery"],"prefix":"10.1016","volume":"89","author":[{"given":"Stefano","family":"Margaritora","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo","family":"Cesario","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Cusumano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Meacci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rolando","family":"D'Angelillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Bonassi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Carnassale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venanzio","family":"Porziella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adele","family":"Tessitore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Letizia","family":"Vita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Libero","family":"Lauriola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia","family":"Evoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierluigi","family":"Granone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2009.08.074_bib1","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1634\/theoncologist.11-8-887","article-title":"Thymoma: benign appearance, malignant potential","volume":"11","author":"Riedel","year":"2006","journal-title":"Oncologist"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib2","doi-asserted-by":"crossref","first-page":"2485","DOI":"10.1002\/1097-0142(19811201)48:11<2485::AID-CNCR2820481123>3.0.CO;2-R","article-title":"Follow-up study of thymomas with special reference to their clinical stages","volume":"48","author":"Masaoka","year":"1981","journal-title":"Cancer"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib3","series-title":"International histological classification of tumours","first-page":"1","article-title":"Histological typing of tumours of the thymus","author":"Rosai","year":"1999"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib4","doi-asserted-by":"crossref","first-page":"1860","DOI":"10.1016\/j.athoracsur.2003.10.001","article-title":"Thymic tumors","volume":"77","author":"Detterbeck","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib5","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/j.athoracsur.2008.03.055","article-title":"The role of surgery in the management of thymoma: a systematic review","volume":"86","author":"Davenport","year":"2008","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib6","first-page":"17","article-title":"Optimal therapy for thymoma","volume":"55","author":"Kondo","year":"2008","journal-title":"J Clin Invest"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib7","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.lungcan.2008.01.014","article-title":"A review of thymic tumours","volume":"60","author":"Srirajaskanthan","year":"2008","journal-title":"Lung Cancer"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib8","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.ejcts.2006.10.022","article-title":"Does adjuvant radiation therapy improve disease-free survival in completely resected Masaoka stage II thymoma?","volume":"31","author":"Rena","year":"2007","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib9","doi-asserted-by":"crossref","first-page":"1834","DOI":"10.1016\/j.athoracsur.2004.12.051","article-title":"Adjuvant radiation of stage III thymoma: is it necessary?","volume":"79","author":"Mangi","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib10","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1056\/NEJM199406233302507","article-title":"Myasthenia gravis","volume":"330","author":"Drachman","year":"1994","journal-title":"N Engl J Med"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib11","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/S0022-5223(19)43412-0","article-title":"Cases of thymoma at the Massachusetts General Hospital","volume":"52","author":"Wilkins","year":"1966","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib12","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1002\/1097-0142(197408)34:2<389::AID-CNCR2820340224>3.0.CO;2-Z","article-title":"Thymomas: clinicopathologic features, therapy, and prognosis","volume":"34","author":"Batata","year":"1974","journal-title":"Cancer"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib13","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/S0022-5223(19)37441-0","article-title":"Results of surgical treatment for thymoma","volume":"87","author":"Shamji","year":"1984","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib14","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/0003-4975(91)90478-9","article-title":"Thymoma: results of 241 operated cases","volume":"51","author":"Maggi","year":"1991","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib15","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1002\/jso.2930380305","article-title":"The characteristics of thymoma with myasthenia gravis: a 28-year experience","volume":"38","author":"Monden","year":"1988","journal-title":"J Surg Oncol"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib16","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1097\/00000658-199910000-00012","article-title":"Clinical and pathologic predictors of survival in patients with thymoma","volume":"230","author":"Wilkins","year":"1999","journal-title":"Ann Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib17","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/S0022-5223(99)70343-0","article-title":"Results of surgical treatment of thymomas with special reference to the involved organs","volume":"117","author":"Okumura","year":"1999","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib18","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.athoracsur.2004.06.090","article-title":"Thymoma and myasthenia gravis: a clinical study of 1,089 patients from Japan","volume":"79","author":"Kondo","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib19","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/S0022-5223(19)35177-3","article-title":"\u201cMaximal\u201d thymectomy for myasthenia gravis: surgical anatomy and operative technique","volume":"96","author":"Jaretzki","year":"1988","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib20","series-title":"Predicting outcomes: applied survival analysis and logistic regression","author":"Harrell","year":"1997"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib21","doi-asserted-by":"crossref","first-page":"121","DOI":"10.3109\/09638289809166071","article-title":"Statistical methods in epidemiology: I","volume":"20","author":"Rigby","year":"1998","journal-title":"Disabil Rehabil"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib22","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1016\/S0003-4975(97)01175-2","article-title":"Results of re-resection for recurrent thymomas","volume":"64","author":"Regnard","year":"1997","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib23","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1002\/1097-0142(19920715)70:2<443::AID-CNCR2820700212>3.0.CO;2-T","article-title":"Malignant thymoma","volume":"70","author":"Wang","year":"1992","journal-title":"Cancer"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib24","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1634\/theoncologist.6-3-239","article-title":"Thymoma: update for the new millennium","volume":"6","author":"Johnson","year":"2001","journal-title":"Oncologist"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib25","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.ejcts.2004.04.041","article-title":"Long-term survival and prognostic factors in thymic epithelial tumours","volume":"26","author":"Rea","year":"2004","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib26","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/S0022-5223(97)70399-4","article-title":"Recurrence of thymoma: analysis of clinicopathologic features, treatment, and outcome","volume":"113","author":"Ruffini","year":"1997","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib27","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1016\/0003-4975(95)00669-C","article-title":"Thymoma: a multivariate analysis of factors predicting survival","volume":"60","author":"Blumberg","year":"1995","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib28","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1016\/0003-4975(90)90300-U","article-title":"Reoperation for thymoma: report of 23 cases","volume":"49","author":"Kirschner","year":"1990","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib29","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1111\/j.1540-8191.2007.00417.x","article-title":"Radical operation for invasive thymoma with intracaval, intracardiac, and lung invasion","volume":"22","author":"Shudo","year":"2007","journal-title":"J Card Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib30","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1177\/030089160809400526","article-title":"Long-term survival after salvage surgery for invasive thymoma with intracardiac extension","volume":"94","author":"Pastorino","year":"2008","journal-title":"Tumori"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib31","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1111\/j.1440-1827.1994.tb02936.x","article-title":"A review of 79 thymomas: modification of staging system and reappraisal of conventional division into invasive and non-invasive thymoma","volume":"44","author":"Koga","year":"1994","journal-title":"Pathol Int"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib32","doi-asserted-by":"crossref","first-page":"1984","DOI":"10.1002\/1097-0142(19911101)68:9<1984::AID-CNCR2820680923>3.0.CO;2-P","article-title":"A tentative tumor-node-metastasis classification of thymoma","volume":"68","author":"Yamakawa","year":"1991","journal-title":"Cancer"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib33","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/S0046-8177(78)80131-2","article-title":"Thymic hyperplasia and neoplasia: a review of current concepts","volume":"9","author":"Levine","year":"1978","journal-title":"J Hum Pathol"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib34","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1007\/BF00737071","article-title":"Thymoma and thymic carcinoma","volume":"407","author":"Marino","year":"1985","journal-title":"Virchows Arch A Pathol Anat Histopathol"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib35","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1002\/cncr.10665","article-title":"New WHO histologic classification predicts prognosis of thymic epithelial tumors: a clinicopathologic study of 200 thymoma cases from China","volume":"95","author":"Chen","year":"2002","journal-title":"Cancer"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib36","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.ijrobp.2007.10.006","article-title":"Novel prognostic groups in thymic tumors: assessment of risk and therapeutic strategy selection","volume":"71","author":"D'angelillo","year":"2008","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib37","doi-asserted-by":"crossref","first-page":"1844","DOI":"10.1212\/01.WNL.0000032502.89361.0C","article-title":"Thymoma in patients with MG: characteristics and long-term outcome","volume":"59","author":"Evoli","year":"2002","journal-title":"Neurology"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib38","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/S0003-4975(10)62558-1","article-title":"Recurrence of thymoma: clinicopathological features, therapy, and prognosis","volume":"39","author":"Monden","year":"1985","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2009.08.074_bib39","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1002\/jso.1146","article-title":"Recurrence of thymoma: clinicopathological features, re-operation, and outcome","volume":"78","author":"Haniuda","year":"2001","journal-title":"J Surg Oncol"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497509017925?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497509017925?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T00:53:25Z","timestamp":1757724805000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497509017925"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,1]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2010,1]]}},"alternative-id":["S0003497509017925"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2009.08.074","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2010,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Thirty-Five\u2013Year Follow-Up Analysis of Clinical and Pathologic Outcomes of Thymoma Surgery","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2009.08.074","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}