PURPOSE: Mediastinal mass lesions are relatively uncommon. Aim of this study is to present the diagnosis and treatment approach to mediastinal mass lesions.
METHODS: A retrospective review of mediastinal mass lesions was undertaken over a 15 year period.
RESULTS: One hundred and nine mediastinal mass lesions underwent operation during 1990 - 2004. Eighty-five (78%) of these patients were male and twenty-four (22%) were female. The ages ranged from 17 to 76 years. Twenty-five (23%) cases were asymptomatic. Thirty-eight (35%) of patients were malign and seventy-one (65%) benign diseases. Thymoma (18%) was the most common pathology among the benign lesions. Lymphoma (16%) was the commonest malign tumor of mediastinum according to our series. The spectrum of other pathologies was encountered, including schwannoma, teratoma, malign thymoma, bronchogenic cysts, pericardial cysts and hydatid cysts.
CONCLUSION: Malign mediastinal mass lesions often require multidisciplinary treatment. Even malign or benign, expeditious surgical resection of mediastinal mass lesions provide a good clinical outcome.
CLINICAL IMPLICATIONS: Optimal management of mediastinal mass lesions require multidisciplinary approach with collaboration of thoracic surgeon, radiologist, chest physician and other related branches.
DISCLOSURE: Mehmet Dakak, None.