{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:29:31Z","timestamp":1787030971385,"version":"build-2736575974"},"reference-count":28,"publisher":"Scientific Scholar","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,8]]},"abstract":"\n Background & objectives:<\/jats:title>\n Thymomas are rare, but most common anterior mediastinal lesions. The histomorphologic spectrum of thymic epithelial tumours (TETs) in Indian population has not been explored in depth. This study was aimed to assess the histomorphology of TETs in the Indian patients and correlate clinical parameters with pathological features.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n It was a retrospective study conducted in a tertiary referral hospital in north India. All morphologically confirmed cases of TETs since 2009 were included. Clinical details and histology slides were reviewed using the Modified Masaoka-Koga staging system and WHO 2015 classification. Clinicopathological correlation and survival analysis were done. A comparative review from other published Indian studies was performed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of 219 cases of TETs (138 resections and 81 biopsies) were identified. The most common histomorphologic type was B2, and the most frequent stage was I. Types A\/AB were common in older age (\n P<\/jats:italic>\n <0.01). Clinically, higher stage tumours were found mostly in men (\n P<\/jats:italic>\n <0.01), and these were Type B thymomas (\n P<\/jats:italic>\n <0.01). Myasthenia gravis was more common in women (\n P<\/jats:italic>\n <0.02) and in lower stages (\n P<\/jats:italic>\n <0.05). Survival analysis revealed significant association between recurrence and tumour stage. Although thymic carcinoma was diagnosed on biopsy, no resectable case was identified.\n <\/jats:p>\n <\/jats:sec>\n \n Interpretation & conclusions:<\/jats:title>\n Our findings showed that the thymomas in Indian patients were most commonly Stage I tumours of B2 and AB histotypes. Resected thymic carcinomas were conspicuously absent in our study. More studies need to be done to establish the frequency and biology of TETs from India.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijmr.ijmr_530_18","type":"journal-article","created":{"date-parts":[[2019,10,18]],"date-time":"2019-10-18T01:46:12Z","timestamp":1571363172000},"page":"153-160","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Histotyping of Indian thymomas"],"prefix":"10.25259","volume":"150","author":[{"given":"Prerna","family":"Guleria","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajinder","family":"Parshad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabhat Singh","family":"Malik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruma","family":"Ray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.M.","family":"Pandey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepali","family":"Jain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","reference":[{"key":"R1-7-20241212","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1097\/JTO.0000000000000393","article-title":"The impact of thymoma histotype on prognosis in a worldwide database","volume":"10","author":"Weis","year":"2015","journal-title":"J Thorac Oncol"},{"key":"R2-7-20241212","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1097\/JTO.0000000000000654","article-title":"The 2015 World Health Organization classification of tumors of the thymus: Continuity and changes","volume":"10","author":"Marx","year":"2015","journal-title":"J Thorac Oncol"},{"key":"R3-7-20241212","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1111\/his.13099","article-title":"Dataset for reporting of thymic epithelial tumours: Recommendations from the International Collaboration on Cancer Reporting (ICCR)","volume":"70","author":"Nicholson","year":"2017","journal-title":"Histopathology"},{"key":"R5-7-20241212","doi-asserted-by":"crossref","first-page":"S1710","DOI":"10.1097\/JTO.0b013e31821e8cff","article-title":"The Masaoka-Koga stage classification for thymic malignancies: Clarification and definition of terms","volume":"6","author":"Detterbeck","year":"2011","journal-title":"J Thorac Oncol"},{"key":"R6-7-20241212","doi-asserted-by":"crossref","first-page":"S304","DOI":"10.1097\/JTO.0b013e3181f20c05","article-title":"Staging system of thymoma","volume":"5","author":"Masaoka","year":"2010","journal-title":"J Thorac Oncol"},{"key":"R8-7-20241212","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1111\/his.12512","article-title":"Type A and AB thymomas: Histological features associated with increased stage","volume":"66","author":"Green","year":"2015","journal-title":"Histopathology"},{"key":"R9-7-20241212","doi-asserted-by":"crossref","first-page":"926","DOI":"10.5858\/2008-132-926-EPATPE","article-title":"Evidence-based pathology and the pathologic evaluation of thymomas: Transcapsular invasion is not a significant prognostic feature","volume":"132","author":"Gupta","year":"2008","journal-title":"Arch Pathol Lab Med"},{"key":"R10-7-20241212","doi-asserted-by":"crossref","first-page":"232","DOI":"10.5858\/arpa.2016-0057-RA","article-title":"Evolution of classification of thymic epithelial tumors in the era of Dr. Thomas V. 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