A STUDY OF CLINICAL PROFILE AND MANAGEMENT OF PATIENTS WITH MEDIASTINAL TUMOURS

Abstract

Abhijeet M. Dashetwar1, G. Ravindra2

BACKGROUND
A large number of neoplasms and cysts may arise from multiple anatomic sites in the mediastinum and present with myriad clinical signs and symptoms. They affect people of all ages, although apparently more common in young and middle-aged adults.
AIM: The present study was designed to study the location, incidence and various surgical options available for mediastinal tumours.
MATERIALS AND METHODS
This retrospective study includes 24 cases of mediastinal masses admitted in Gandhi Hospital between Jan 2012 and Nov 2012. All details of the patient’s pertinent clinical history was obtained from case record file in the department.
RESULTS
Out of 24 cases, 15 (60%) cases are between age group of 10-30 years with equal incidence in gender. Most of the lesions 18 (70%) cases were seen in anterior mediastinum region and 12 (50%) cases were treated with anterolateral thoracotomy surgical approach. Complete resection of tumours was done in 11 (46%) cases. Histopathological examination revealed benign thymomas in 6 (25%) cases as commonest tumour.
CONCLUSION
Anterior mediastinal tumours are more common, which can be treated with anterolateral thoracotomy with very low morbidity and almost nil mortality with good outcomes.

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