Cargando…

Giant Benign Mediastinal Masses Extending into the Pleural Cavity

Introduction  The aim of the study was to evaluate the results of surgery to remove huge mediastinal masses and their pathology. Surgical resection was chosen for accurate diagnosis and treatment of the huge mediastinal masses extending into the pleural cavity. Methods  Records were reviewed for eig...

Descripción completa

Detalles Bibliográficos
Autores principales: Sunam, Güven Sadi, Öncel, Murat, Ceran, Sami, Ödev, Kemal, Yıldıran, Hüseyin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2016
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553481/
https://www.ncbi.nlm.nih.gov/pubmed/28824990
http://dx.doi.org/10.1055/s-0036-1584519
_version_ 1783256627172868096
author Sunam, Güven Sadi
Öncel, Murat
Ceran, Sami
Ödev, Kemal
Yıldıran, Hüseyin
author_facet Sunam, Güven Sadi
Öncel, Murat
Ceran, Sami
Ödev, Kemal
Yıldıran, Hüseyin
author_sort Sunam, Güven Sadi
collection PubMed
description Introduction  The aim of the study was to evaluate the results of surgery to remove huge mediastinal masses and their pathology. Surgical resection was chosen for accurate diagnosis and treatment of the huge mediastinal masses extending into the pleural cavity. Methods  Records were reviewed for eight patients who had the diagnosis of huge benign mediastinal masses and who underwent operation; details of the patients and operations were recorded. Results  Mean age was 34.5 (range 22 to 44) years, and male-to-female ratio was 2:6. Computed tomography and magnetic resonance imaging (MRI) were used to evaluate the location and extent of the abnormality and to characterize the tissue components of the mass. Most of the tumors were located in the posterior mediastinum. The most frequent presenting symptom was exertional dyspnea. The majority of cases underwent posterolateral thoracotomy, and complete resection was possible in seven patients. Partial resection could only be performed in one. The mean diameter of the resected masses was 15 × 10 cm. Histopathologic examination revealed 3 neurogenic tumors, 2 teratomas, 1 thymolipoma, and 1 ectopic thyroid, and 1 hemangioma. Minor complication was seen in two cases. Conclusion  The presurgical thoracic MRI provided correct diagnosis along with radiologic characterization and topography. Surgery must be the preferred treatment in huge benign mediastinal masses.
format Online
Article
Text
id pubmed-5553481
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Thieme Medical Publishers
record_format MEDLINE/PubMed
spelling pubmed-55534812017-08-18 Giant Benign Mediastinal Masses Extending into the Pleural Cavity Sunam, Güven Sadi Öncel, Murat Ceran, Sami Ödev, Kemal Yıldıran, Hüseyin Surg J (N Y) Introduction  The aim of the study was to evaluate the results of surgery to remove huge mediastinal masses and their pathology. Surgical resection was chosen for accurate diagnosis and treatment of the huge mediastinal masses extending into the pleural cavity. Methods  Records were reviewed for eight patients who had the diagnosis of huge benign mediastinal masses and who underwent operation; details of the patients and operations were recorded. Results  Mean age was 34.5 (range 22 to 44) years, and male-to-female ratio was 2:6. Computed tomography and magnetic resonance imaging (MRI) were used to evaluate the location and extent of the abnormality and to characterize the tissue components of the mass. Most of the tumors were located in the posterior mediastinum. The most frequent presenting symptom was exertional dyspnea. The majority of cases underwent posterolateral thoracotomy, and complete resection was possible in seven patients. Partial resection could only be performed in one. The mean diameter of the resected masses was 15 × 10 cm. Histopathologic examination revealed 3 neurogenic tumors, 2 teratomas, 1 thymolipoma, and 1 ectopic thyroid, and 1 hemangioma. Minor complication was seen in two cases. Conclusion  The presurgical thoracic MRI provided correct diagnosis along with radiologic characterization and topography. Surgery must be the preferred treatment in huge benign mediastinal masses. Thieme Medical Publishers 2016-06-10 /pmc/articles/PMC5553481/ /pubmed/28824990 http://dx.doi.org/10.1055/s-0036-1584519 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Sunam, Güven Sadi
Öncel, Murat
Ceran, Sami
Ödev, Kemal
Yıldıran, Hüseyin
Giant Benign Mediastinal Masses Extending into the Pleural Cavity
title Giant Benign Mediastinal Masses Extending into the Pleural Cavity
title_full Giant Benign Mediastinal Masses Extending into the Pleural Cavity
title_fullStr Giant Benign Mediastinal Masses Extending into the Pleural Cavity
title_full_unstemmed Giant Benign Mediastinal Masses Extending into the Pleural Cavity
title_short Giant Benign Mediastinal Masses Extending into the Pleural Cavity
title_sort giant benign mediastinal masses extending into the pleural cavity
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553481/
https://www.ncbi.nlm.nih.gov/pubmed/28824990
http://dx.doi.org/10.1055/s-0036-1584519
work_keys_str_mv AT sunamguvensadi giantbenignmediastinalmassesextendingintothepleuralcavity
AT oncelmurat giantbenignmediastinalmassesextendingintothepleuralcavity
AT ceransami giantbenignmediastinalmassesextendingintothepleuralcavity
AT odevkemal giantbenignmediastinalmassesextendingintothepleuralcavity
AT yıldıranhuseyin giantbenignmediastinalmassesextendingintothepleuralcavity