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This study was conducted to evaluate the efficacy of debulking surgery in the treatment of locally advanced but operable malignant thymoma.We reviewed 43 cases with incompletely resected stage III and IVa malignant thymoma managed between January 1987 and December 2002.Twenty-two had stage III and 21 had stage IVa disease. Maximal debulking was performed in 15 patients, nine with stage III and six...
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