The Asymptomatic Mediastinal Mass

Fontenelle, Larry J.; Armstrong, Raymond G.; Stanford, William; Lindberg, Evan F.; Dooley, Byron N.

doi:10.1001/archsurg.1971.01350020008003

Cited by 19 publications

(7 citation statements)

References 17 publications

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“…Some studies have reported bronchogenic cysts frequently presenting as an incidental radiological finding in the adult; these cysts were of little clinical importance and could be followed up [3,4]. The largest and most recent series have reported symptoms, complications, or both with the majority of bronchogenic cysts.…”

Section: Discussionmentioning

confidence: 99%

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Bronchogenic cysts: clinicopathological presentation and treatment

Aktoğu¹,

Yuncu²,

Halilçolar³

et al. 1996

Eur Respir J

147

138

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B Br ro on nc ch ho og ge en ni ic c c cy ys st ts s: : c cl li in ni ic co op pa at th ho ol lo og gi ic ca al l p pr re es se en nt ta at ti io on n a an nd d t tr re ea at tm me en nt t S. Aktogu*, G. Yuncu**, H. Halilçolar*, S. Ermete + , T. Buduneli** Bronchogenic cysts: clinicopathological presentation and treatment. S. Aktogu, G. Yuncu, H. Halilçolar, S. Ermete, T. Buduneli. ©ERS Journals Ltd 1996. ABSTRACT: The aim of this study was to evaluate the preoperative and operative presentations of one paediatric and 30 adult patients with bronchogenic cyst of the mediastinum (n=11) and lung (n=20).At initial presentation, six patients were asymptomatic and 25 were symptomatic. The mean age of asymptomatic and symptomatic patients was 25 and 33 yrs, respectively. Six patients presented with complications, including superior vena cava syndrome, tracheal compression, pneumothorax, pleurisy and pneumonia. Two patients who were asymptomatic when initially observed eventually needed surgery because of the development of symptoms or enlargement of the cyst size. In one patient, the cyst was not seen on the chest radiograph but appeared as a lobulated nodule of 2 cm diameter in a chest computerized tomography (CT) scan. Operative difficulties were encountered in 13 patients, all of whom were symptomatic preoperatively.In conclusion, life-threatening complications occurred in these patients. Despite various diagnostic studies, definitive tissue diagnosis was established only by means of surgical excision. The frequency of operative difficulties in symptomatic cysts was higher than those of asymptomatic cysts. Surgery may be considered as the treatment of choice even when the cyst is asymptomatic, since complications are not uncommon.

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Section: Discussionmentioning

confidence: 99%

“…Past reports have emphasized that a bronchogenic cyst is usually asymptomatic and presents as an incidental finding on the chest roentgenogram [3,4]. Conversely, more recent series suggest that the majority of adults with bronchogenic cysts ultimately become symptomatic [2,5,6].…”

mentioning

confidence: 99%

Bronchogenic cysts: clinicopathological presentation and treatment

Aktoğu¹,

Yuncu²,

Halilçolar³

et al. 1996

Eur Respir J

147

138

View full text Add to dashboard Cite

show abstract

“…Some prefer surgical treatment for fear of malignant transformation, cyst infection, progressive growth, or spontaneous rupture, [2][3][4] whereas others assert that there is no need for universal resection due to the benign nature of PMCs. [5][6][7] Despite this controversy, there has been a paucity of literature concerning surgical experiences with the entire range of PMCs.…”

Section: Introductionmentioning

confidence: 99%

Single Institutional Experience with Primary Mediastinal Cysts: Clinicopathological Study of 108 Resected Cases

Kozu

Suzuki

et al. 2014

Ann Thorac Cardiovasc Surg

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“…Ağrı çoğu zaman malign tümörün çevre dokulara invazyonunun bir göstergesidir. Vena cava superior sendromu, ses kısıklığı ve Horner sendromu da çoğu zaman mediastinal kitlenin preoperatif dönem-de malign histopatolojik yapıda olduğunu düşündüren bulgulardır (4,7). Asemptomatik olguların benign lezyonlar olma olasılığı yüksek olmasına karşın, asemptomatik dönemde yakalanan mediastinal kitleler de histopatolojik tanı konulmadıkça hiçbir zaman benign olarak yorumlanmamalıdır (1,4,5,16).…”

Section: Discussionunclassified