management

Last reviewed 01/2018

• thoracotomy may be considered for diagnosis and removal
• radiotherapy may be indicated for the primary tumour or for any tumour residue - this may be curative in neuroblastoma and thymoma; it may achieve long-term control in malignant teratoma
• combination chemotherapy may be required for neuroblastoma
• note that treatment with radiotherapy may cause dysphagia and an irritant cough during and immediately after treatment. Occasionally there may be later symptoms of pulmonary fibrosis and pericardial fibrosis.