Related Experiment Video
Updated: Oct 3, 2025
Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer
Published on: June 9, 2023
Prognostic impact of tumor volume in patients with complete resection of thymoma
Yudai Miyashita1, Takashi Kanou1, Hiroto Ishida1
1Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
Background:
The impact of tumor volume on prognosis is unclear. We therefore investigated the correlation between tumor volume and prognosis in patients with complete resection of thymoma.
Methods:
A total of 177 patients who underwent curative surgical resection for thymoma were retrospectively collected and reviewed. We performed a volumetric analysis of each case using the modified version of "Watchin GGO" and evaluated the relationship between tumor volume and recurrence.
Results:
The median tumor size was 5.0 (range 0.5-15) cm, and the median tumor volume was 35.1 (range 0.265-881.0) cm3 . The Pearson product-moment correlation coefficient was 0.658, suggesting a moderately strong connection between tumor volume and tumor size. To determine the impact of tumor volume on tumor recurrence, receiver operating characteristic curves of the recurrence and tumor volume were calculated. The area under the curve was 0.65 (95% confidence interval [CI]: 0.51-0.80), and the optimal cutoff level of the tumor volume for recurrence was 82.6 cm3 , with a sensitivity and specificity of 0.64 (11/17) and 0.74 (119/160), respectively. Patients with tumors ≥82.6 cm3 had a significantly worse recurrence-free survival than those with smaller tumors (p = 0.0122, hazard ratio: 2.99), with 5-year recurrence rates of 74.9% (95% CI: 58.6%-86.3%) versus 88.9% (95% CI: 79.0%-94.4%).
Conclusion:
The volume of completely resectable thymoma may be a useful prognostic indicator.
