Primary Mediastinal Tumors

Strollo, Diane C.; Rosado-de-Christenson, Melissa L.; Jett, James R.

doi:10.1378/chest.112.5.1344

Cited by 386 publications

(96 citation statements)

References 71 publications

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“…It is bounded by the diaphragm inferiorly, the pericardium anteriorly and the spinal cord posteriorly. The differential diagnoses of a posterior mediastinal mass are listed in Table 1 [9].…”

Section: Discussionmentioning

confidence: 99%

The anesthetic challenges of a diagnostic biopsy of a large posterior mediastinal mass causing severe obstruction at the carinal level- Case report

2015

Glob Anaesth Perioper Med

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There is abundant literature about the anesthetic management of anterior mediastinal masses. There is also a perception that posterior mediastinal masses pose less significant problems compared to anterior mediastinal masses. In our case report, we describe the successful anesthetic management for a patient with symptomatic airway obstruction from a posterior mediastinal mass that required mediastinoscopy. Our report demonstrates that posterior mediastinal masses can be as difficult to manage as anterior mediastinal masses. It also highlights the importance of multidisciplinary cooperation, adequate preoperative planning and anticipation of problems during anesthesia.

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Section: Discussionmentioning

confidence: 99%

The anesthetic challenges of a diagnostic biopsy of a large posterior mediastinal mass causing severe obstruction at the carinal level- Case report

2015

Glob Anaesth Perioper Med

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“…According to a series of 2,399 cases of mediastinal tumors reported in the literature [1], 496 cases (20.7%) were reported to be neurogenic tumors. Schwannoma and neurofibroma are benign peripheral nerve neoplasms, which represent the most common mediastinal neurogenic tumors [5]. In our department, from 1974 to 1997, 252 mediastinal tumors were treated, including 47 neurogenic tumors (18.7%), and schwannoma represented 91.5% of all neurogenic tumor.…”

Section: Discussionmentioning

confidence: 99%

Cystic Schwannoma Presenting as Massive Hemoptysis in an Adult

Ondo

Sugio²,

Yano³

et al. 2000

Respiration

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A 62-year-old man who presented with the chief complaint of hemoptysis is reported. A chest radiograph obtained on admission showed a huge cystic mass located at the posterior mediastinum. Prior to surgery, transarterial embolization was done because of continuous massive hemoptysis. An uneventful removal of the tumor was performed, and the pathological diagnosis was schwannoma. The hemoptysis was thought to have been caused by changes in the cystic formation in combination with inflammation which extended to the lung.

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“…Among these, Schwannomas are benign, slow-growing neoplasms that originate from the proliferation of Schwann cells of the sheath nerve of the spinal root or intercostals nerve cells contained within a capsule. They typically occur in asymptomatic young adults or adolescents [1], but when they achieve a large size, these tumors cause symptoms due to direct effects of the mediastinal mass, as chest discomfort, dyspnea or dysphagia, the two latter ones being consequences of tracheal or esophageal compression, respectively. Grossly, thoracic tumors are habitually fusiform or spherical and capsulated, but when they attain large sizes growing into the spinal canal and paravertebral region, they acquire a characteristic dumbbell shape [2].…”

Section: Introductionmentioning

confidence: 99%

The Transcervical Extended Access, a Feasible Approach for the Surgical Treatment of Benign Tumors of the Posterior Mediastinum?

Pérez¹,

Hernández²,

Cano³

et al. 2018

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Transcervical approach for tumors of the posterior mediastinum is traditionally thought not to be indicated. Hereby we report on a case of a patient with a huge neurogenic tumor of the posterior mediastinum which was successfully excised through a transcervical extended approach and, additionally, the variety of surgical approaches used to remove tumors of the posterior mediastinum is discussed. The new refined techniques of transcervical extended mediastinal operations, which are recently gaining popularity among surgeons, allowed for a safe dissection of the tumor, thus patient could benefit from a short painless postoperative course. The authors suggest that surgeons trained in these particular techniques should consider the choice of the transcervical extended access in selected cases of benign tumors of the posterior mediastinum.

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Primary Mediastinal Tumors

Cited by 386 publications

References 71 publications

The anesthetic challenges of a diagnostic biopsy of a large posterior mediastinal mass causing severe obstruction at the carinal level- Case report

The anesthetic challenges of a diagnostic biopsy of a large posterior mediastinal mass causing severe obstruction at the carinal level- Case report

Cystic Schwannoma Presenting as Massive Hemoptysis in an Adult

The Transcervical Extended Access, a Feasible Approach for the Surgical Treatment of Benign Tumors of the Posterior Mediastinum?

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