@article{article_645557, title={Primary mediastinal cysts and tumors: 10 year experience}, journal={Pamukkale Medical Journal}, volume={13}, pages={629–634}, year={2020}, DOI={10.31362/patd.645557}, author={Semerkant, Tolga and Esme, Hıdır}, keywords={Benign, cyst, malignant, mass, mediastinum}, abstract={<p class="MsoNormal" style="text-align:justify;line-height:200%;"> <b> <span style="font-size:12pt;line-height:200%;font-family:Arial, ’sans-serif’;letter-spacing:1.5pt;">Objective </span> </b> <span style="font-size:12pt;line-height:200%;font-family:Arial, ’sans-serif’;letter-spacing:1.5pt;">: To present the investigations related to the symptoms,
surgical techniques, post-operative complications and pathologies of the cases
with mediastinal cysts and masses. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:200%;"> <b> <span style="font-size:12pt;line-height:200%;font-family:Arial, ’sans-serif’;letter-spacing:1.5pt;">Material and
Methods </span> </b> <span style="font-size:12pt;line-height:200%;font-family:Arial, ’sans-serif’;letter-spacing:1.5pt;">: Ninety cases with mediastinal
cysts were evaluated retrospectively between 2009-2019. Patients were
investigated regarding age, gender, complaints, radiological location of cysts,
pre-operative diagnosis, type of surgeries, post-operative complications,
removal of drains and pathologies. </span> </p> <p> </p> <h1 style="margin:6pt 0cm;text-align:justify;line-height:200%;"> <span style="font-size:12pt;line-height:200%;font-family:Arial, ’sans-serif’;letter-spacing:1.5pt;">Results </span> <span style="font-size:12pt;line-height:200%;font-family:Arial, sans-serif;letter-spacing:1.5pt;">: Of cases, 39 (43.3%) were men, and 51 (56.7%) were
women. Mean age was 44, and 48.9% had no complaints. The most common complaints
reported were, in turn, chest pain (41.3%), dispnea (34.8%) and cough
(15.2%).Without any differentiation between benign and malignant cases, 74.4,
20 and 5.6% of the cysts were located in anterior, middle and posterior mediastinum,
respectively. Preoperative diagnosis was performed by transthoracic or USG
tru-cut biopsy in 8.9% of patients. For diagnostic and threapeutic purposes,
61.1%, 21.1% and 10% of patients were operated through thoracotomy, sternotomy
and video-assisted thoracic surgery (VATS) respectively, while 7.8% were
operated with first thoracotomy and then VATS. The drains were removed
approximately on 5th day. The most common post-operative complications were
atelectasis and secretion, and mortality rate was found as 2.2%. The
post-operative pathologies were benign in 63.3% and malignant in 36.7% of the
cases. Frequencies of pathologies were respectively as follows: thymic diseases
(45.5%), neurogenic tumors (12.2%), developmental cysts (10%), Hodkgin’s lymphomas
(4%) and hydatid cysts (4%). </span> </h1> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:200%;"> </p> <h1 style="margin:6pt 0cm;text-align:justify;line-height:200%;"> <span style="font-size:12pt;line-height:200%;font-family:Arial, sans-serif;letter-spacing:1.5pt;">Conclusion </span> <span style="font-size:12pt;line-height:200%;font-family:Arial, sans-serif;letter-spacing:1.5pt;">: There is no need for invasive radiological
interventions with the mediastinal structures in non-invasive cases </span> <span style="font-size:12pt;line-height:200%;font-family:Arial, sans-serif;letter-spacing:1.5pt;">for
pre-operative diagnosis. <span>Surgery is an effective
method in the diagnosis and treatment of patients without invasion to
surrounding tissues, and for whom no lymphomas and germ-cell tumors are
considered. <span style="color:#FF0000;"> </span> </span> </span> </h1> <p> </p>}, number={3}, publisher={Pamukkale University}