Results: Commonest mediastinal mass was of thymic origin followed by neurogenic, germ cells and others. Tissue or origin of the masses are : Thymic 32 cases, Lymphatics 13 cases, Mesenchymal (Dermoid) 17 cases, Bronchial Cyst 2 cases and Neurogenic 23 cases. There were 4 mortaity in our series 3 were of thymic origin and one was of huge dermoid.Conclusions: Mediastinal mass was not as rare as it is thought to be. Majority are asymtomatic. Commonest mediastinal mass was of thymic origin and an aggressive surgical approach gives gratifying results.
Limited Wegener`s Granulomatosis (WG) has been infrequently reported from India so far. We report a case of Limited WG in a 60 year old male, who presented to us with productive cough and hemoptysis, and a right upper lobe mass lesion on chest roentgenogram. He was previously treated outside as Pulmonary Koch's, without any improvement. We diagnosed the patient on histo-pathological examination of right upper lobectomy specimen. He was administered fi ve pulses of intravenous cyclophosphamide therapy plus oral corticosteroids, with signifi cant symptomatic improvement. He was given oral methotrexate and tapering doses of corticosteroids in follow up.
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