Volume : VIII, Issue : III, March - 2019

Unveiling myths : sizeable anterior mediastinal masses

Ruchi Singh, Sheil Avneesh, P. K Dubey, Saket Sharma

Abstract :

BACKGROUND Sizeable Anterior mediastinal masses are a rare entity and its occurance , surgical resection and prognosis has been linked with several myths which we tried to unveil in this study. Methods Records were reviewed for 9 patients who had sizeable anterior mediastinal masses and who underwent proper preoperative workup and planned surgical resection. Details of the patients and operations were recorded and follow up was done. Results Mean age was 37 (range 19 to 55) years, and male–to–female ratio was 7:2 Computed tomography and magnetic resonance imaging (MRI) were used to evaluate the location and extent of the abnormality and to characterize the components of the mass. Besides CT and MRI, Pulmonary function testing was used to investigate pre–op pulmonary function. We selected the tumors that were large in size benign and located in the anterior mediastinum. The most frequent presenting symptom was dyspnea. The majority of cases underwent sternotomy and resection of tumor, and complete resection was possible in all patients. The mean diameter of the resected masses was 12 cm and average weight was 3000 gms (6.6 lb). Histopathologic examination revealed teratomas & lipoma mainly.Complications such as prolonged ICU stay & surgical site infection was seen in 1 patient. Conclusion The presurgical thoracic CT and MRI along with CT guided biopsies provided correct diagnosis along with radiological characterization and topography. Surgery must be considered the preffered treatment modality in patients with benign anterior mediastinal mass irrespective of the size and diagnosis.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

UNVEILING MYTHS : SIZEABLE ANTERIOR MEDIASTINAL MASSES, Ruchi Singh, Sheil Avneesh, P.K Dubey, Saket Sharma INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-3 | March-2019


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