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      Dolor torácico y fiebre. Hay vida más allá de la COVID-19 Translated title: Chest pain and fever. There is life beyond COVID-19

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          Abstract

          RESUMEN El timoma es un tumor infrecuente que se presenta habitualmente con clínica secundaria a compresión local como dolor torácico, tos o disnea y que en ocasiones puede manifestarse con síntomas sistémicos como la fiebre. Es un desafío para el médico de familia el diagnóstico y tratamiento de los pacientes con síntomas respiratorios en la época de la COVID-19. Presentamos el caso clínico de una paciente con timoma y la atención que le prestamos durante la pandemia mundial.

          Translated abstract

          ABSTRACT Thymoma is a rare tumour. It usually appears with symptoms related to local compression such as chest pain, cough or dyspnoea and sometimes systemic symptoms such as fever. Diagnosis and treatment of patients with respiratory symptoms becomes a challenge for Primary Care physicians during the COVID-19 period. We report a case study of a patient diagnosed with thymoma and the treatment provided during the global pandemic.

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          Thymoma and thymic carcinomas.

          Thymomas (Ts) and thymic carcinomas (TCs) are rare tumours of the mediastinum with an incidence rate of 1.7/million per year in Europe. Histological classification is based on rate of non-malignant-appearing thymic epithelial cells and proportions of lymphocytes (A, AB, B1, B2, B3, and C), while staging system concerns localisation of the involved areas. Surgery is the mainstay of treatment with a 10-year survival of 80%, 78%, 75%, and 42% for stages I, II, III and IV, respectively, with an R0 resection. Radiotherapy has a role in selected cases (stage III patients or R1-2 residual) and platinum-based chemotherapy remains the standard of care for patients with advanced disease. A multimodality approach would be advisable when surgery is not recommended. Since molecular aberrations are poorly understood and few responses are reported, targeted therapies are yet being studied. In this review, we describe key aspects of clinical management for Ts and TCs.
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            Thymomas and thymic carcinomas: Clinical Practice Guidelines in Oncology.

            Masses in the anterior mediastinum can be neoplasms (eg, thymomas, thymic carcinomas, or lung metastases) or non-neoplastic conditions (eg, intrathoracic goiter). Thymomas are the most common primary tumor in the anterior mediastinum, although they are rare. Thymic carcinomas are very rare. Thymomas and thymic carcinomas originate in the thymus. Although thymomas can spread locally, they are much less invasive than thymic carcinomas. Patients with thymomas have 5-year survival rates of approximately 78%. However, 5-year survival rates for thymic carcinomas are only approximately 40%. These guidelines outline the evaluation, treatment, and management of these mediastinal tumors.
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              Contra el coronavirus, más Atención Primaria que nunca

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                Author and article information

                Journal
                albacete
                Revista Clínica de Medicina de Familia
                Rev Clin Med Fam
                Sociedad Española de Medicina de Familia y Comunitaria (Barcelona, Cataluña, Spain )
                1699-695X
                2386-8201
                2021
                : 14
                : 2
                : 109-111
                Affiliations
                [2] Toledo orgnameCentro de Salud Santa Bárbara España
                [3] Toledo orgnameConsultorio Burguillos de Toledo España
                [1] Toledo orgnameÁrea de Toledo orgdiv1Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Toledo España
                Article
                S1699-695X2021000200014 S1699-695X(21)01400200014
                f9982a17-ce86-4d71-af9d-41c5f04e73d7

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 18 July 2020
                : 23 August 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 6, Pages: 3
                Product

                SciELO Spain

                Categories
                Un paciente con...

                Thymoma,infecciones por coronavirus,dolor en el pecho,timoma,Chest Pain,Coronavirus Infections

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