Cystic Lesions of the Mediastinum

Vargas, Daniel; Suby-Long, Thomas; Restrepo, Carlos S.

doi:10.1053/j.sult.2015.12.005

Cited by 28 publications

(24 citation statements)

References 29 publications

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“…It is difficult to distinguish thymic cysts from solid neoplasms of the thymus by imaging examination in some cases, especially for protein-rich cysts (2). However, there are few large-scale studies that have analyzed the preoperative diagnosis of thymic cysts.…”

Section: Introductionmentioning

confidence: 99%

Clinical features, diagnosis and thoracoscopic surgical treatment of thymic cysts

Wang

Xiao

et al. 2017

J. Thorac. Dis.

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Background: Thymic cysts are rare benign developmental anomalies and there is no consensus management for thymic cysts. The aim of this study was to disclose the efficacy of perioperative diagnosis for thymic cysts by chest computerized tomography (CT) and to elucidate the surgical procedure by videoassisted thoracic surgery (VATS) in the management of thymic cysts. Conclusions: A diameter ≤3 cm and an unenhanced CT value >20 Hu were independent factors of incorrect diagnosis of chest CT. VATS is a reliable approach for the surgical resection of thymic cysts. We think that local resection is adequate for simple thymic cysts. However, thymectomy is necessary when there is suspicion of a thymoma or multilocular thymic cyst, and radical thymectomy is advisable for patients with autoimmune diseases.

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Section: Introductionmentioning

confidence: 99%

Clinical features, diagnosis and thoracoscopic surgical treatment of thymic cysts

Wang

Xiao

et al. 2017

J. Thorac. Dis.

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“…Given their origin, these lesions are usually filled with sebaceous material, but may also contain macroscopic fat, bone, hair or other tissues. A small percentage may present as a primarily cystic lesion (9).…”

Section: Discussionmentioning

confidence: 99%

Cystic Lesions of Anterior Mediastinum: Case Report

Lukovic

Arsenijević

Milisavljević

et al. 2020

Serbian Journal of Experimental and Clinical Research

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Cystic lesions of the mediastinum are uncommon, comprising 12% to 18% of all primary mediastinal tumors and unless they attain a large size and cause compressive symptoms, these tumors are generally asymptomatic and are discovered incidentally upon radiologic investigation of some other condition. We present in this paper a case of cystic lesions of the mediastinum in a 70-year-old male patient who underwent a surgery for mediastinal mass removal. Histopathology report had shown it was the case of mature cystic teratoma of anterior mediastinum. Based on a review of the literature, as well as our experience, we conclude that best treatment for cystic lesions of anterior mediastinum is complete surgical resection if possible.

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“…Tečnost koju sadrže obično je bistra, ukoliko je mutna to je od prisutnog holesterola ili hemoragije 3 . Nekada je teško razgraničiti ih od solidnih tumora timusa različitim vizualizacionom metodama, pogotovo ukoliko su u pitanju ciste bogate proteinima 4 . Mogu da se pojave nakon sprovedene radio ili hemoterapije Hodgkinovog ili non-Hodgkinovog limfoma, kao i u okviru tih osnovnih bolesti.…”

Section: Uvodunclassified

Thymic cyst as a diagnostic challenge

Knežević¹,

Srećković²,

Vulović³

2019

Med gl Spec bol štit Zlatibor

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Sažetak: Uvod. Ciste timusa su retke, benigne, većinom kongenitalne anomalije i predstavljaju 1-3% svih medijastinalnih masa, najčešće u prednjem medijastinumu. Mogu biti kongenitalne ili stečene, u sklopu različitih imunoloških i malignih bolesti. Oko 60% pacijenata sa cistama timusa je asimptomatsko, a ukoliko postoje simptomi nisu specifični već su to kašalj, dispnoja i bol u grudima. Prikaz bolesnika. Pacijent star 48 godina, u martu 2018. godine dolazi na pregled zbog visoke temperature, upornog suvog kašlja i krvi u ispljuvku. Radiografija i kompjuterizovana tomografija pokazale jasno ograničenu promenu desno paratrahealno, promera 64x53 mm, jasnih ivica, bez invazije i kontinuiteta u okolno tkivo. Inicijalna bronhoskopija ukazala na kompresiju traheje, a drugom je eksplorisano sedam limfnih žlezda sa nespecifičnim nalazom kada je dobijeno i pet mililitara žućkastog tečnog sadržaja. U međuvremenu, kod pacijenta prestaju znaci respiratorne infekcije, kašalj i iskašljavanje sukrvice krvi, takođe i dobro se osećao. Video-asistiranom torakoskopskom hirurgijom učinjena je kompletna resekcija promene uz očuvanje timusa. Promena je bila jasno ograničena od okoline, inkapsulirana, tankog zida. Patohistološki nisu nađene maligne ćelije, zid se sastojao od fibroznog cističnog tkiva sa fragmentima timusnog tkiva. Radilo se o benignoj, prostoj, kongenitalnoj timusnoj cisti. Zaključak. Svakog pacijenta sa sumnjom na cistu timusa uputiti na multidisciplinarni tim sa iskustvom u medijastinalnoj patologiji. Hirurška resekcija kod našeg pacijenta sprovedena je u dijagnostičke i terapijske svrhe. Ključne reči. Medijastinum, torakoskopska hirurgija, timusna cista. THYMIC CYST AS A DIAGNOSTIC CHALLENGE Introduction. Thymic cysts are rare, benign, mostly congenital anomalies and represent 1-3% of all mediastinal masses, most frequently found in the front mediastinum. They can be congenital or acquired, as part of

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Cystic Lesions of the Mediastinum

Cited by 28 publications

References 29 publications

Clinical features, diagnosis and thoracoscopic surgical treatment of thymic cysts

Clinical features, diagnosis and thoracoscopic surgical treatment of thymic cysts

Cystic Lesions of Anterior Mediastinum: Case Report

Thymic cyst as a diagnostic challenge

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