Histotyping of Indian thymomas: A clinicopathologic study from north India

Abstract

Background & objectives: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.Methods: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.Results: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 (P<0.01). Clinically, higher stage tumours were found mostly in men (P<0.01), and these were Type B thymomas (P<0.01). Myasthenia gravis was more common in women (P<0.02) and in lower stages (P<0.05). Survival analysis revealed significant association between recurrence and tumour stage. Although thymic carcinoma was diagnosed on biopsy, no resectable case was identified.Interpretation & conclusions: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.

Long-Term Outcomes of Thymoma Treated at a Single Institute

“…Contrary to the worldwide database, a large retrospective study on histotyping of Indian thymomas revealed B2 as the commonest histology. 28 In the present study, B2 was the commonest subtype, followed by B3, consistent with findings from another Indian study. 22 Together, B2 and B3 subtypes constituted more than 80% of our patient population.…”

GTF2I Mutation in Thymomas: Independence From Racial-Ethnic Backgrounds. An Indian/German Comparative Study

“…Therefore, it will be interesting to see, whether multiomics analyses can still identify molecular thymoma features that segregate with racial-ethnic and environmental differences. Fourth, since the GTF2I mutation is largely restricted to type A and AB thymomas, the two patients cohorts were equally and strongly skewed towards an over-representation of these two histologies and are thus not representative regarding the histotype distribution ( 22 ). Therefore, future comparative studies between racially and ethnically disparate groups should comprise type B thymomas and thymic carcinomas as well.…”