Presentation of primary mediastinal masses in Ibadan

Adegboye, V O; Ogunseyinde, AO; Obajimi, M O; Ogunbiyi, Olufemi J.; Brimmo, AI; Oa, Adebo

doi:10.4314/eamj.v80i9.8747

Cited by 8 publications

(8 citation statements)

References 16 publications

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“…This contrasts with earlier positions where lymphomas, thymic tumours and thyroid masses were found in reducing order [7,13].…”

Section: Discussioncontrasting

confidence: 95%

“…This constituted an annual hospital-based occurrence of 7.6 cases and it was nearly double the occurrence of mediastinal masses in Ibadan, a centre 120 kilometres North-east of our centre [7] within 51 -60…”

Section: Discussionmentioning

confidence: 85%

“…While an earlier report from Ibadan, southwest Nigeria confirmed lymphomas as the commonest primary mediastinal masses, [7] Lam and his colleagues [6] in Singapore found neurogenic tumour as the commonest his-tologic variant. Some of the rare tumours of the mediastinum include sarcoma of follicular dendritic cells in the posterior mediastinum, non seminomatous germ cell tumour, adenomatoid tumour, mediastinal extramedullary haemopoietic tumour, thoracic duct cysts and cervicothoracic schwannoma.…”

Section: Introductionmentioning

confidence: 94%

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Mediastinal Masses: Pathophysiological Issues and Management Challenges in a Developing World

Thomas¹,

Ogunleye²

2011

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Context: Mediastinal masses occur worldwide. Compartmental occurrence and pathological variants vary widely, hence, the need for more studies. AIM: The study was conducted to further shed light on pathophysiological and current management challenges of mediastinal masses. Settings and Design: It was a prospective hospital based study spanning a period of 5 years. Methods and Materials: We gathered patients in series noting their ages and sex, presenting symptoms, investigation reports, treatment modalities and associated postoperative complications. Statistical Analysis Used: Data was analysed manually looking at frequency distribution, correlation of malignancy with compartment involved and duration of symptoms against incidence of malignancy. Results: We saw 38 patients with significant male preponderance. Most tumours were in anterior mediastinum and population distribution was leptokurtic. Conclusions: Population distribution of mediastinal masses is leptokurtic. The second to the fourth decades of life are mostly affected. There was no correlation between occurrence of malignancy and the mediastinal compartment involved. Most benign tumours are symptomatic and duration of symptoms is not discriminatory between benign and malignant variants. Occurrence of malignancy had no bearing with duration of symptoms. If less than two months, it became significant at sixth month when benignity was positively correlated with long duration of symptoms.

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“…This contrasts with earlier positions where lymphomas, thymic tumours and thyroid masses were found in reducing order [7,13].…”

Section: Discussioncontrasting

confidence: 95%

Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 94%

See 1 more Smart Citation

Mediastinal Masses: Pathophysiological Issues and Management Challenges in a Developing World

Thomas¹,

Ogunleye²

2011

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“…A study of mediastinal masses in the black African population comprised 75 males and 30 females, with a mean age of 34 ± 20.4 years. 1 Most patients with a mediastinal mass (whether benign or malignant) were symptomatic; absence of symptoms was most often associated with benign disease. 1 Only 3 patients in this series were asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

“…1 Most patients with a mediastinal mass (whether benign or malignant) were symptomatic; absence of symptoms was most often associated with benign disease. 1 Only 3 patients in this series were asymptomatic. As found in this study, thymic neoplasm is the most common lesion in the anterosuperior mediastinum.…”

Section: Discussionmentioning

confidence: 99%

Mediastinal Tumors: A Clinicopathological Analysis

Shrivastava

Devgarha

Ahlawat

2006

Asian Cardiovasc Thorac Ann

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Between January 1993 and June 2003, 106 patients underwent surgical treatment of a mediastinal mass. Ages ranged from 6 months to 62 years, with peak incidence in the third and fourth decade of life (56%). The male to female ratio was 1.9:1. The anterosuperior mediastinum was involved in 76 patients (72%), middle mediastinum in 13 (12%), and posterior mediastinum in 17 (16%). Myasthenia gravis was present in 27% of cases. Complete surgical excision was possible in 68% of patients. Histopathologically, 41 (39%) patients had thymic pathology, 31 (29%) had lymphoma, 14 (13%) had germ cell tumors, 12 (11%) had neurofibroma, 4 (4%) had ganglioneuroma, 2 (2%) had bronchogenic cyst, and 1 each had thymic cyst and mesothelioma. The overall mortality was 3.8%.

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Penetrating Thoracic Trauma Patients with Gross Physiological Derangement: A Responsibility for the General Surgeon in the Absence of Trauma or Cardiothoracic Surgeon?

et al. 2016

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Most of the injuries in the chest can be managed by simple procedures to control life-threatening bleeding. The techniques required are similar to those taught to and are practiced comfortably by general surgeons used to work in the abdominal cavity. We encourage the general surgeon who receives a grossly unstable patient with penetrating thoracic trauma to operate, instead of adding risk to the patient's physiology by a transfer to cardio-thoracic or dedicated trauma units.

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Presentation of primary mediastinal masses in Ibadan

Cited by 8 publications

References 16 publications

Mediastinal Masses: Pathophysiological Issues and Management Challenges in a Developing World

Mediastinal Masses: Pathophysiological Issues and Management Challenges in a Developing World

Mediastinal Tumors: A Clinicopathological Analysis

Penetrating Thoracic Trauma Patients with Gross Physiological Derangement: A Responsibility for the General Surgeon in the Absence of Trauma or Cardiothoracic Surgeon?

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