        TY  - JOUR
T1  - Primary mediastinal cysts and tumors: 10 year experience
TT  - Primer mediastinal kist ve tümörler: 10 yıllık deneyim
AU  - Semerkant, Tolga
AU  - Esme, Hıdır
PY  - 2020
DA  - September
Y2  - 2020
DO  - 10.31362/patd.645557
JF  - Pamukkale Medical Journal
JO  - Pam Tıp Derg
PB  - Pamukkale University
WT  - DergiPark
SN  - 1308-0865
SP  - 629
EP  - 634
VL  - 13
IS  - 3
LA  - en
AB  - Objective: To present the investigations related to the symptoms,surgical techniques, post-operative complications and pathologies of the caseswith mediastinal cysts and masses.Material andMethods: Ninety cases with mediastinalcysts were evaluated retrospectively between 2009-2019. Patients wereinvestigated regarding age, gender, complaints, radiological location of cysts,pre-operative diagnosis, type of surgeries, post-operative complications,removal of drains and pathologies.Results: Of cases, 39 (43.3%) were men, and 51 (56.7%) werewomen. Mean age was 44, and 48.9% had no complaints. The most common complaintsreported 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 USGtru-cut biopsy in 8.9% of patients. For diagnostic and threapeutic purposes,61.1%, 21.1% and 10% of patients were operated through thoracotomy, sternotomyand video-assisted thoracic surgery (VATS) respectively, while 7.8% wereoperated with first thoracotomy and then VATS. The drains were removedapproximately on 5th day. The most common post-operative complications wereatelectasis and secretion, and mortality rate was found as 2.2%. Thepost-operative pathologies were benign in 63.3% and malignant in 36.7% of thecases. 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%).Conclusion: There is no need for invasive radiologicalinterventions with the mediastinal structures in non-invasive cases forpre-operative diagnosis.Surgery is an effectivemethod in the diagnosis and treatment of patients without invasion tosurrounding tissues, and for whom no lymphomas and germ-cell tumors areconsidered.
KW  - Benign
KW  - cyst
KW  - malignant
KW  - mass
KW  - mediastinum
N2  - Amaç: Mediastinal kistve kitle nedeniyle opere edilen olguların semptomları, operasyon yöntemleri,postoperatif komplikasyon ve patolojilerini inceledik.Gereç ve Yöntemler:2009-2019 yılları arasında mediastinal kitlesi olan 90 olgu retrospektif olarakincelendi. Hastalar yaş, cinsiyet, şikayet, radyolojik yerleşim yeri, preop.tanı, ameliyat şekli, postoperatif komplikasyonlar, dren çekilme süresi,patoloji yönünden analiz edildi.Bulgular: Olguların39&#039;u ( % 43,3 ) erkek, 51&#039;i ( 56,7 ) kadındı. Ortalama yaş 44 idi. Hastaların %48,9&#039;unde şikayet yoktu. En fazla şikayet sırası ile göğüs ağrısı ( % 41,3 ),dispne ( % 34,8 ), öksürüktü ( % 15,2 ). Benign-malign ayrımı yapmadanolguların %74,4&#039;i ön mediastende, %20&#039;si arka mediastende ve % 5,6&#039;ü ortamediasten yerleşimliydi. Hastaların % 8,9&#039;unda transtorasik veya USG iletru-cut biopsi yapılarak preoperatif tanı konuldu. Tanı veya tedavi amaçlıhastaların %61,1&#039;ine torakotomi, % 21,1&#039;ine sternotomi, %10&#039;una VATS, %7,8&#039;ineise VATS ile başlanıp torakotomiye dönülerek opere edildi. Hastaların drenleriortalama 5.günde çekildi. Postoperatif en fazla olan komplikasyon atelektazi vesekresyondu. Mortalite %2,2 idi. Olguların postoperatif patolojisi % 63,3&#039;übenign, %36,7 maligndi. Patolojien sık sırası ile %45,5 timik hastalıklar, %12,2 norojenik tumorler, %10gelişimsel kistler, % 4 hodgking lenfoma, %4 hidatik kistti.Sonuç: Radyolojik olarak mediastinalyapılara invazyon olmayan olgularda preoperatif tanı için invaziv girişimleregerek yoktur. Lenfoma ve germ hücreli tümor olduğu düşünülmeyen ve etrafdokulara invazyon olmayan hastalarda cerrahi hem tanı hem tedavide etkin biryöntemdir.
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UR  - https://doi.org/10.31362/patd.645557
L1  - https://dergipark.org.tr/en/download/article-file/852927
ER  -