Experience with mediastinal cysts at a tertiary specialty hospital.
- Author:
Sarmiento Armand G. C.
;
Danguilan Jose Luis J.
- Publication Type:Journal Article, Original
- MeSH: Human; Male; Female; Adult; Mediastinal Cyst; Mediastinum; Chylothorax; Tertiary Care Centers; Chest Pain; Dyspnea; Hypertrophy; Pulmonary Atelectasis
- From: Philippine Journal of Surgical Specialties 2013;68(1):21-24
- CountryPhilippines
- Language:English
-
Abstract:
OBJECTIVE: To analyze the different approaches in diagnosing and managing mediastinal cysts in a single tertiary specialty hospital.
METHODS: A retrospective study on patients with mediastinal cysts who underwent surgery from January 2002 to December 2009 in a single tertiary hospital. The authors analyzed demographic data, clinical presentation, diagnostic procedures, lesion location,size,type of surgery carried out, histological diagnosis, postoperative morbidity and mortality.
RESULTS: Thirty seven patients with mediastinal cysts; 21 female (57%) and 16 male (43%). Mean age was 33.5 years. Most of the patients were asymptomatic (27%) but among those with symptoms most common were dyspnea and chest pain. The right side was the most common laterality 24 (64.9%). The anterior mediastinum was the most commonly involved site 34(91.9 %). Sizes ranged from 4 to 27cm with a mean of 11.5cm. Most of the cystic lesions were benign except for 1 which showed malignancy. There was no postoperative death. Morbidities were atelectasis, airleak and chylothorax.
CONCLUSION: Surgical excision of mediastinal cyst is indicated to prevent complications from rupture andfurther enlargement leading to respiratory embarrassment, low morbidity and no mortality.