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Original Research

Ann Med Res. 2003; 10(1): 15-19


Primary Mediastinal Cysts and Masses: Retrospective Analysis of 31 Cases

Akın Kuzucu*, Mehmet Özgel**, Haldun Şükrü Erkal**, Ömer Soysal*

.




Abstract


 

Objective: The aim of this study is to analyze the diagnostic procedures and the management of primary mediastinal tumors and

cysts.

Methods: Between 1998 and 2002, 31 patients with primary mediastinal masses were treated. There were 17 male and 14 female

patients. The ages of patients ranged from 3 months to 85 years. Presenting symptoms of the patients, diagnostic work-up and

surgical interventions were evaluated.

Results: The most common symptoms were dyspnea, chest pain and back pain. Two patients were asymptomatic (9.6%). Fifteen

of the tumors (48.3%) were located in the anterior mediastinum, 11 (35.4%) in the middle mediastinum and 5 of them (16.1%)

were in the posterior mediastinum. In 23 patients, complete resection was performed via median sternotomy, posterolateral

thoracotomy or collar incision. Two patients had an incomplete resection. Incisional biopsy was performed in 6 patients. There

was no operative mortality.

Conclusions: A large spectrum of tumors may develop in the mediastinum. Surgical interventions are usually needed for

establishing the diagnosis as well as treating primary mediastinal tumors and cysts.

Key Words: Mediastinum, Tumor, Cyst.






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