Four Cases of Invasive Anterior Mediastinal Tumors Definitively Diagnosed by the Chamberlain Procedure

Shimizu, Junzo; Kamesui, Tadashi; Moriya, Makio; Murata, Shuichi; Nakanishi, Isao; Sasaki, Motoko; Minato, Hiroshi

doi:10.5761/atcs.cr.12.02185

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…It had more advantage compared to other techniques. This procedure can provide a histological diagnosis where none other techniques could confirm the diagnosis [13]. It not only confirms the diagnosis but also helps to detect unresectable diseases.…”

Section: Discussionmentioning

confidence: 94%

Modified Chamberlain Procedure Is an Alternative Option with or Without VATS Still a Gold Standard Technique: A 10 Years Experience

Haridas¹,

Bhat²

2018

IJCTS

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Introduction: Mediastinum is divided in anterior, middle and posterior part. Mediastinum contains heart, lung, thymus, lymph nodes and nerves. A varied spectrum of disease can arise from these organs. It poses a challenge to the clinicians to confirm the diagnosis. A Mediastinal lesion grows beyond the individual division of origin in advanced stages. It is the biopsy and histopathological study that gives us an idea about probable site or organ of origin and nature of the lesion. Diagnostic biopsy approach for such cases would be CT guide FNAC, Mediastinoscopy, Video Assisted Thoracoscopic Surgery, Chamberlain procedure and Thoracotomy. Anterior mediastinotomy known as chamberlain procedure is time tested technique for confirmation of the mediastinal lesions. Objective: To re-evaluate the technique of chamberlain procedure and its modifications to confirm the diagnosis of various lesions found in the mediastinum. Chamberlain procedure and other mediastinoscopic biopsy techniques have been replaced with VATS in most centres. In view of difficulties in gaining VATS instruments as they are expensive and its steep learning curve, we continue to do chamberlain procedure for mediastinal lesions biopsy. Method: We studied 75 patients, presented with various mediastinal mass or lung lesions. Most of these lesions were not identified from another mode of investigations. Chamberlain Procedure adopted to confirm the diagnosis, asses the stage of disease, operability status and to plan the treatment. Conclusion: Chamberlain procedure is still a gold standard over multiple other techniques in diagnosis and confirmation of the mediastinal diseases. It allows accessing any plane and location in the mediastinum. Result: Chamberlain procedure and biopsy can be done for diagnosis and confirmation of all kinds of mediastinal lesions. Compared to VATS, chamberlain procedure results and outcomes are similar.

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Section: Discussionmentioning

confidence: 94%

Modified Chamberlain Procedure Is an Alternative Option with or Without VATS Still a Gold Standard Technique: A 10 Years Experience

Haridas¹,

Bhat²

2018

IJCTS

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“…Bu nedenle aynı tanısal değere sahip yaklaşımlar arasından en az invazif olan seçilmelidir. Mediasten yerleşimli kitlelerden açık biyopsi yapmak için sternotomi yerine Chamberlain kesisi yapılarak sternotomiye göre daha az invazif yolla biyopsi alınabilir (46) .…”

Section: Açık Biyopsiunclassified

Biopsy techniques in childhood cancers

Boybeyi¹,

Karnak²

2016

tcdd

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Çocukluk çağı kanserlerinin sağaltımında multidisipliner yaklaşımın benimsenmesiyle ve cerrahinin yanı sıra kemoterapi ve radyoterapinin de tedavi protokollerinde yer almasıyla sağkalım artmıştır. Ayrıca risk gruplarına göre tedavi planları uygulanmaya başlandığından biyopsiye gereksinim ve doku tanısının önemi artmıştır. Biyopsi yalnızca bir tanı aracı olarak görülmemelidir. Biyopsi metastatik hastalığın belirlenmesinde veya kalıntı dokuda canlı tümör hücresi varlığını araştırmada da oldukça önemlidir. Biyopsinin doğru dokudan, yeterli miktarda ve hasta için en uygun ve en az invazif yöntemle alınması da kanser tanı ve tedavisinde kritik bir öneme sahiptir. Biyopsi yöntemleri, ince iğne aspirasyon biyopsisi, kalın iğne (tru-cut) biyopsisi, minimal invazif yöntemler ve insizyonel açık biyopsi olarak sayılabilir.

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Left Parasternal Mediastinotomy

2016

Specialty Imaging: Thoracic Neoplasms

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Four Cases of Invasive Anterior Mediastinal Tumors Definitively Diagnosed by the Chamberlain Procedure

Cited by 3 publications

References 21 publications

Modified Chamberlain Procedure Is an Alternative Option with or Without VATS Still a Gold Standard Technique: A 10 Years Experience

Modified Chamberlain Procedure Is an Alternative Option with or Without VATS Still a Gold Standard Technique: A 10 Years Experience

Biopsy techniques in childhood cancers

Left Parasternal Mediastinotomy

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