How would you treat patient with a recurrent thymic carcinoma after prior surgery and concurrent chemoradiation?

This is a bit difficult to answer as the background is a bit vague with uncertainty about the patient's primary therapy. In general, the approach I would take is that the curative approach is in the first-line setting, once there is a recurrence, it is typically incurable but they have a number of treatment options. I generally use single-agent therapy with drugs such as paclitaxel, everolimus, capecitabine, etoposide, sunitinib, Doxil, or gemcitabine. There are some clinical trials ongoing with...