{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:27:01Z","timestamp":1759336021750,"version":"build-2065373602"},"reference-count":36,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jtcvsonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"published-print":{"date-parts":[[2025,10]]},"DOI":"10.1016\/j.jtcvs.2025.05.017","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T15:51:53Z","timestamp":1748620313000},"page":"969-975.e8","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgery for thymic malignancy and nonthymic malignancy incidence: A national longitudinal study"],"prefix":"10.1016","volume":"170","author":[{"given":"Samir","family":"Bouam","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Bobbio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucia","family":"Parlati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stylianos","family":"Tzedakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Daffr\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludovic","family":"Fournel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Venissac","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre E.","family":"Falcoz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Mallet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Alifano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"10 Suppl 4","key":"10.1016\/j.jtcvs.2025.05.017_bib1","doi-asserted-by":"crossref","first-page":"S260","DOI":"10.1097\/JTO.0b013e3181f1f62d","article-title":"Epidemiology of thymoma and associated malignancies","volume":"5","author":"Engels","year":"2010","journal-title":"J Thorac Oncol"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.05.017_bib2","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.ejca.2007.11.004","article-title":"Thymic epithelial tumours: a population-based study of the incidence, diagnostic procedures and therapy","volume":"44","author":"de Jong","year":"2008","journal-title":"Eur J Cancer"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.05.017_bib3","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1111\/his.15097","article-title":"Thymic epithelial tumours: histopathological classification and differential diagnosis","volume":"84","author":"von der Thusen","year":"2024","journal-title":"Histopathology"},{"issue":"18","key":"10.1016\/j.jtcvs.2025.05.017_bib4","doi-asserted-by":"crossref","first-page":"2982","DOI":"10.3390\/diagnostics13182982","article-title":"Thymoma: an overview","volume":"13","author":"Alqaidy","year":"2023","journal-title":"Diagnostics (Basel)"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.05.017_bib5","first-page":"1170","article-title":"Current treatment approaches for thymic epithelial tumors","volume":"13","author":"Tartarone","year":"2023","journal-title":"Life (Basel)"},{"issue":"162","key":"10.1016\/j.jtcvs.2025.05.017_bib6","doi-asserted-by":"crossref","DOI":"10.1183\/16000617.0394-2020","article-title":"Thymic tumours and their special features","volume":"30","author":"Basse","year":"2021","journal-title":"Eur Respir Rev"},{"key":"10.1016\/j.jtcvs.2025.05.017_bib7","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.ejca.2021.11.028","article-title":"Treatment strategies for thymic carcinoma in a real-life setting. Insights from the RYTHMIC network","volume":"162","author":"Petat","year":"2022","journal-title":"Eur J Cancer"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.05.017_bib8","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/j.jtho.2022.01.021","article-title":"Thymic Carcinomas-A concise multidisciplinary update on recent developments from the thymic carcinoma working group of the International Thymic Malignancy Interest Group","volume":"17","author":"Roden","year":"2022","journal-title":"J Thorac Oncol"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.05.017_bib9","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1097\/01.cco.0000152628.43867.8e","article-title":"Treatment of malignant thymoma","volume":"17","author":"Giaccone","year":"2005","journal-title":"Curr Opin Oncol"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.05.017_bib10","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.lungcan.2013.09.013","article-title":"Historical perspectives: the evolution of the thymic epithelial tumors staging system","volume":"83","author":"Filosso","year":"2014","journal-title":"Lung Cancer"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.05.017_bib11","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1097\/JTO.0000000000000154","article-title":"ITMIG consensus statement on the use of the WHO histological classification of thymoma and thymic carcinoma: refined definitions, histological criteria, and reporting","volume":"9","author":"Marx","year":"2014","journal-title":"J Thorac Oncol"},{"key":"10.1016\/j.jtcvs.2025.05.017_bib12","doi-asserted-by":"crossref","first-page":"6803","DOI":"10.2147\/CMAR.S171683","article-title":"Optimal management of thymic malignancies: current perspectives","volume":"11","author":"Drevet","year":"2019","journal-title":"Cancer Manag Res"},{"key":"10.1016\/j.jtcvs.2025.05.017_bib13","doi-asserted-by":"crossref","first-page":"14","DOI":"10.21037\/med-20-34","article-title":"The role of surgery in the management of locally advanced and metastatic thymoma: a narrative review","volume":"5","author":"Wagner","year":"2021","journal-title":"Mediastinum"},{"issue":"10","key":"10.1016\/j.jtcvs.2025.05.017_bib14","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.1016\/j.jtho.2017.06.072","article-title":"Assessment of the ITMIG statement on the WHO histological classification and of the eighth TNM staging of thymic epithelial tumors of a series of 188 thymic epithelial tumors","volume":"12","author":"Meurgey","year":"2017","journal-title":"J Thorac Oncol"},{"key":"10.1016\/j.jtcvs.2025.05.017_bib15","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.ejca.2020.11.011","article-title":"Impact of expert pathologic review of thymic epithelial tumours on diagnosis and management in a real-life setting: a RYTHMIC study","volume":"143","author":"Molina","year":"2021","journal-title":"Eur J Cancer"},{"issue":"10","key":"10.1016\/j.jtcvs.2025.05.017_bib16","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1016\/j.jtho.2023.07.008","article-title":"The international association for the study of lung cancer thymic epithelial tumors staging project: an overview of the central database informing revision of the forthcoming (ninth) edition of the TNM classification of malignant tumors","volume":"18","author":"Rimner","year":"2023","journal-title":"J Thorac Oncol"},{"key":"10.1016\/j.jtcvs.2025.05.017_bib17","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.lungcan.2018.01.025","article-title":"Optimal surgical approach to thymic malignancies: new trends challenging old dogmas","volume":"118","author":"Ruffini","year":"2018","journal-title":"Lung Cancer"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.05.017_bib18","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1148\/radiol.2392050261","article-title":"CT screening for lung cancer: prevalence and incidence of mediastinal masses","volume":"239","author":"Henschke","year":"2006","journal-title":"Radiology"},{"key":"10.1016\/j.jtcvs.2025.05.017_bib19","doi-asserted-by":"crossref","DOI":"10.1016\/j.ctrv.2020.102014","article-title":"Thymic epithelial tumors: from biology to treatment","volume":"86","author":"Conforti","year":"2020","journal-title":"Cancer Treat Rev"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.05.017_bib20","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1093\/ejcts\/ezu309","article-title":"Prognostic factors of remission in myasthenia gravis after thymectomy","volume":"48","author":"Mao","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.05.017_bib21","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1002\/ijc.11099","article-title":"Malignant thymoma in the United States: demographic patterns in incidence and associations with subsequent malignancies","volume":"105","author":"Engels","year":"2003","journal-title":"Int J Cancer"},{"issue":"9","key":"10.1016\/j.jtcvs.2025.05.017_bib22","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.1001\/jama.283.9.1142","article-title":"Association between thymoma and second neoplasms","volume":"283","author":"Welsh","year":"2000","journal-title":"JAMA"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.05.017_bib23","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1056\/NEJMoa2302892","article-title":"Health consequences of thymus removal in adults","volume":"389","author":"Kooshesh","year":"2023","journal-title":"N Engl J Med"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.05.017_bib24","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/j.jtcvs.2024.09.004","article-title":"Does thymectomy in adults have long-term health consequences?","volume":"169","author":"Detterbeck","year":"2025","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.05.017_bib26","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1016\/j.jhep.2021.04.052","article-title":"Prognosis of French COVID-19 patients with chronic liver disease: a national retrospective cohort study for 2020","volume":"75","author":"Mallet","year":"2021","journal-title":"J Hepatol"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.05.017_bib27","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1093\/aje\/kwq433","article-title":"Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries","volume":"173","author":"Quan","year":"2011","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.jtcvs.2025.05.017_bib28","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1186\/1471-2458-9-33","article-title":"Ecological association between a deprivation index and mortality in France over the period 1997-2001: variations with spatial scale, degree of urbanicity, age, gender and cause of death","volume":"9","author":"Rey","year":"2009","journal-title":"BMC Public Health"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.05.017_bib29","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1093\/ejcts\/ezs663","article-title":"Thymoma and the increased risk of developing extrathymic malignancies: a multicentre study","volume":"44","author":"Filosso","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.05.017_bib31","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1093\/ejcts\/ezab224","article-title":"Thymomectomy plus total thymectomy versus simple thymomectomy for early-stage thymoma without myasthenia gravis: a European Society of Thoracic Surgeons Thymic Working Group Study","volume":"60","author":"Guerrera","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2025.05.017_bib32","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2021.596859","article-title":"Thymectomy in juvenile myasthenia gravis is safe regarding long term immunological effects","volume":"12","author":"Popperud","year":"2021","journal-title":"Front Neurol"},{"key":"10.1016\/j.jtcvs.2025.05.017_bib33","doi-asserted-by":"crossref","DOI":"10.3389\/fimmu.2021.774780","article-title":"Early thymectomy is associated with long-term impairment of the immune system: a systematic review","volume":"12","author":"Cavalcanti","year":"2021","journal-title":"Front Immunol"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.05.017_bib34","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1615\/CritRevImmunol.2017018916","article-title":"Acquired T-cell immunodeficiency in thymoma patients","volume":"36","author":"Christopoulos","year":"2016","journal-title":"Crit Rev Immunol"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.05.017_bib35","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/s00005-012-0207-9","article-title":"Associated immunological disorders and cellular immune dysfunction in thymoma: a study of 87 cases from Thailand","volume":"61","author":"Thongprayoon","year":"2013","journal-title":"Arch Immunol Ther Exp (Warsz)"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.05.017_bib36","doi-asserted-by":"crossref","first-page":"978","DOI":"10.4049\/jimmunol.2000626","article-title":"Interruption of thymic activity in adult mice improves responses to tumor immunotherapy","volume":"206","author":"Almeida-Santos","year":"2021","journal-title":"J Immunol"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.05.017_bib37","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/0008-8749(83)90105-3","article-title":"Studies of the thymus in mice bearing the Lewis lung carcinoma. I. Thymic natural killer cell activity in 3LL tumor-bearing mice","volume":"80","author":"Kaiserlian","year":"1983","journal-title":"Cell Immunol"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.05.017_bib38","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/j.cell.2010.09.043","article-title":"DNA damage-mediated induction of a chemoresistant niche","volume":"143","author":"Gilbert","year":"2010","journal-title":"Cell"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S002252232500460X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S002252232500460X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T10:05:14Z","timestamp":1759313114000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S002252232500460X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["S002252232500460X"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2025.05.017","relation":{},"ISSN":["0022-5223"],"issn-type":[{"type":"print","value":"0022-5223"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Surgery for thymic malignancy and nonthymic malignancy incidence: A national longitudinal study","name":"articletitle","label":"Article Title"},{"value":"The Journal of Thoracic and Cardiovascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtcvs.2025.05.017","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by The American Association for Thoracic Surgery","name":"copyright","label":"Copyright"}]}}