For patients with metastatic thymic carcinoma, what would you offer patients who progress after platinum doublet chemotherapy?  

Thymic carcinoma is a rare tumor and carries a much different prognosis than thymoma, which is often more indolent and for which surgery is the mainstay of treatment. Unfortunately, thymic carcinomas tend to respond poorly to chemotherapy. For an unresectable thymic carcinoma, radiation is typically...