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Wide Mediastinum

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1. Wide Mediastinum

Wide Mediastinum Wide Mediastinum Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Wide Mediastinum Wide Mediastinum Aka: Wide (...) Mediastinum , Wide Mediastinum on Chest XRay , Mediastinal Widening II. Causes Emergent Conditions (perforated lung, esophagus, trachea) Thoracic l with hematoma (high mechanism blunt ) Non-emergent Conditions Mediastinal Mass (e.g. ) Mediastinal Pulmonary artery engorgement Thyromegaly Thymoma Incidental findings Anatomic variants (azygous vein, duplicated SVC) Imaging technique Patient rotation Supine positioning Poor inspiration AP View (Magnifies mediastinum) III. Exam in both arms Difference >10 mmHg

2018 FP Notebook

2. Wide Mediastinum

Wide Mediastinum Wide Mediastinum Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Wide Mediastinum Wide Mediastinum Aka: Wide (...) Mediastinum , Wide Mediastinum on Chest XRay , Mediastinal Widening II. Causes Emergent Conditions (perforated lung, esophagus, trachea) Thoracic l with hematoma (high mechanism blunt ) Non-emergent Conditions Mediastinal Mass (e.g. ) Mediastinal Pulmonary artery engorgement Thyromegaly Thymoma Incidental findings Anatomic variants (azygous vein, duplicated SVC) Imaging technique Patient rotation Supine positioning Poor inspiration AP View (Magnifies mediastinum) III. Exam in both arms Difference >10 mmHg

2018 FP Notebook

3. Present indications of surgical exploration of the mediastinum (PubMed)

Present indications of surgical exploration of the mediastinum Preoperative mediastinal staging is crucial in the management of patients with non-small cell lung cancer (NSCLC), especially to define prognosis and the most proper treatment. To obtain the highest certainty level before lung resection, the current American and European guidelines for preoperative mediastinal nodal staging for NSCLC recommend getting tissue confirmation of regional nodal spread in all cases except in patients (...) with small (≤3 cm) peripheral carcinomas with no evidence of nodal involvement on computed tomography (CT) and positron emission tomography (PET). We have a wide variety of surgical methods for mediastinal staging that are well integrated in the current preoperative algorithms. Their main indication is the validation of negative results obtained by minimally invasive endoscopic techniques. However, recent studies have reported the superiority of mediastinoscopy over endosonography methods in terms

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2018 Journal of thoracic disease

4. Paravertebral tumours of the cervicothoracic junction extending into the mediastinum: surgical strategies in a no man's land. (PubMed)

Paravertebral tumours of the cervicothoracic junction extending into the mediastinum: surgical strategies in a no man's land. Cervicothoracic paravertebral neoplasms extending into the mediastinum pose a surgical challenge due the complex regional anatomy, their biological nature, rarity and surgeon's unfamiliarity with the region. We aim to define a surgical access framework addressing the aforementioned complexities whilst achieving oncological clearance.We carried out a retrospective review (...) of 28 consecutive patients operated in two tertiary referral centres between 1998 and 2015. Pathology was located paravertebrally from C6 to T4 with superior mediastinum invasion. Patients were operated jointly by a spinal and a thoracic surgeon.Tumours were classified according to subclavian fossa involvement as anteromedial, anterolateral and posterior and according to histology in benign nerve sheath tumour group (n = 10) and malignant bone or soft tissue tumours (n = 18). Three surgical routes

2018 European Spine Journal

5. Comparison of pediatric and adult lymphomas involving the mediastinum characterized by distinctive clinicopathological and radiological features (PubMed)

Comparison of pediatric and adult lymphomas involving the mediastinum characterized by distinctive clinicopathological and radiological features Lymphomas involving the mediastinum occur in a wide age range and represent heterogeneous histological subtypes with various clinical symptoms and complex radiological findings. However, studies that describe the clinical and radiological features of different subtypes among Chinese pediatric and adult patients are limited. We analyzed the clinical (...) , radiological and pathological features of 31 pediatric lymphomas involving the mediastinum, and compared them to the features of 21 adult patients. Although several histological subtypes were identified in adults, pediatric patients presented with T-cell lymphoblastic lymphoma/T-cell acute lymphoblastic leukemia (T-LBL/T-ALL) and classical Hodgkin lymphomas (CHL) in 24 and 7 cases, respectively. Compared to adults, pediatric patients were more likely to be male (P = 0.089) and showed a higher incidence

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2017 Scientific reports

6. Thymoma in middle mediastinum that induced tracheal compression—Case report and literature review (PubMed)

a 2-year period, inducing severe tracheal compression. Thymomas can occur widely in pharyngeal pouch-derived locations and should be considered in differential diagnosis of a middle mediastinum tumor.Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved. (...) Thymoma in middle mediastinum that induced tracheal compression—Case report and literature review A thymoma, an epithelial neoplasm of the thymus, mainly occurs in the anterior mediastinum, while few are seen in the middle mediastinum.An 83-year-old male was referred for an incidental mass in the middle mediastinum. He had severe dementia and denied symptoms. Our follow-up computed tomography (CT) examinations had revealed the progress of tracheal compression along with tumor enlargement

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2016 International journal of surgery case reports

7. Comparative Short-Term Clinical Outcomes of Mediastinum Tumor Excision Performed by Conventional VATS and Single-Port VATS: Is It Worthwhile? (PubMed)

Comparative Short-Term Clinical Outcomes of Mediastinum Tumor Excision Performed by Conventional VATS and Single-Port VATS: Is It Worthwhile? Single-port video-assisted thoracoscopic surgery (VATS) has been widely applied recently. However, there are still only few reports describing its use in mediastinum tumor resection. We present the technique of single-port video-assisted thoracoscopic mediastinum tumor resection and compare it with conventional VATS with regard to short-term outcome.We (...) retrospectively enrolled 105 patients who received mediastinum surgery in Chang Gung Memorial Hospital. Sixteen patients received sternotomy or thoracotomy, 29 patients received single-port VATS, and 60 patients received conventional VATS (3 ports). The operative time, blood loss, postoperation day 1 pain score, discharge day pain score, and postoperative hospital stay were compared. In order to establish a well balanced cohort study, we also use propensity scores match (1:1) to compare the short-term

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2015 Medicine

8. Imaging the posterior mediastinum: a multimodality approach (PubMed)

Imaging the posterior mediastinum: a multimodality approach The posterior mediastinum contains several structures that can produce a wide variety of pathologic conditions. Descending thoracic aorta, esophagus, azygos and hemiazygos veins, thoracic duct, lymph nodes, adipose tissue, and nerves are all located in this anatomical region and can produce diverse abnormalities. Although chest radiography may detect many of these pathologic conditions, computed tomography and magnetic resonance

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2015 Diagnostic and Interventional Radiology

9. Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum (Follow-up)

Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum (Follow-up) Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method (...) =getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDI3ODE3LXRyZWF0bWVudA== processing > Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum Treatment & Management Updated: Mar 20, 2018 Author: Mary C Mancini, MD, PhD, MMM; Chief Editor: John Geibel, MD, DSc, MSc, AGAF Share Email Print Feedback Close Sections Sections Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum Treatment Approach Considerations Treatment selection for a given

2014 eMedicine Surgery

10. Teratomas and Other Germ Cell Tumors of the Mediastinum (Overview)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDI3Mzk1LW92ZXJ2aWV3 processing > Teratomas and Other Germ Cell Tumors of the Mediastinum Updated: Oct 31, 2017 Author: Dale K Mueller, MD; Chief Editor: Mary C Mancini, MD, PhD, MMM Share Email Print Feedback Close Sections Sections Teratomas and Other Germ Cell Tumors of the Mediastinum Overview Background The mediastinum is an area of the body in which a wide range of tissue variability exists. Tumors that occur in this area therefore can represent many different clinical entities and pathologic processes (...) Teratomas and Other Germ Cell Tumors of the Mediastinum (Overview) Teratomas and Other Germ Cell Tumors of the Mediastinum: Background, Anatomy, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Surgery

11. Neurogenic Tumors of the Mediastinum (Diagnosis)

Neurogenic Tumors of the Mediastinum (Diagnosis) Neurogenic Tumors of the Mediastinum: Background, Anatomy, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDI3NTg0LW92ZXJ2aWV3 processing (...) > Neurogenic Tumors of the Mediastinum Updated: Nov 02, 2017 Author: Dale K Mueller, MD; Chief Editor: Mary C Mancini, MD, PhD, MMM Share Email Print Feedback Close Sections Sections Neurogenic Tumors of the Mediastinum Overview Background Several tumors of neurogenic origin can occur in the mediastinum. Tumors that occur in this area of the chest can present in many different ways clinically and can produce many different pathologic processes. An understanding of the embryology of this area

2014 eMedicine Surgery

12. Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum (Diagnosis)

different clinical entities and pathologic processes. Lymphomas, primary or ectopic endocrine tumors, and a wide variety of mesenchymal tumors can occur in the mediastinum. An understanding of the embryology and of the anatomic relations of the normal structures of the mediastinum is essential in the proper determination of the exact nature of a mass or tumor located in this area. Any discussion of neoplasms or other masses found within the mediastinum requires delineation of the boundaries of that area (...) Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum (Diagnosis) Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum: Background, Anatomy, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Surgery

13. Teratomas and Other Germ Cell Tumors of the Mediastinum (Diagnosis)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDI3Mzk1LW92ZXJ2aWV3 processing > Teratomas and Other Germ Cell Tumors of the Mediastinum Updated: Oct 31, 2017 Author: Dale K Mueller, MD; Chief Editor: Mary C Mancini, MD, PhD, MMM Share Email Print Feedback Close Sections Sections Teratomas and Other Germ Cell Tumors of the Mediastinum Overview Background The mediastinum is an area of the body in which a wide range of tissue variability exists. Tumors that occur in this area therefore can represent many different clinical entities and pathologic processes (...) Teratomas and Other Germ Cell Tumors of the Mediastinum (Diagnosis) Teratomas and Other Germ Cell Tumors of the Mediastinum: Background, Anatomy, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Surgery

14. Infections of the Lung, Pleura and Mediastinum: Surgical Perspective (Diagnosis)

of descending necrotizing and chronic mediastinitis The approach to the patient with descending necrotizing mediastinitis should include wide local mediastinal debridement, drainage, and irrigation in addition to the use of broad-spectrum antibiotics. Tracheostomy to protect the airway is generally also required. In a retrospective review (2000-2010) of 15 Chinese patients with descending necrotizing mediastinitis of the anterior mediastinum, Guan et al suggested that the infection site should determine (...) Infections of the Lung, Pleura and Mediastinum: Surgical Perspective (Diagnosis) Surgical Treatment of Infections of the Lung, Pleura, and Mediastinum: Overview, Infections of the Lung, Infections of the Pleura Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Pediatrics

15. Infections of the Lung, Pleura and Mediastinum: Surgical Perspective (Treatment)

of descending necrotizing and chronic mediastinitis The approach to the patient with descending necrotizing mediastinitis should include wide local mediastinal debridement, drainage, and irrigation in addition to the use of broad-spectrum antibiotics. Tracheostomy to protect the airway is generally also required. In a retrospective review (2000-2010) of 15 Chinese patients with descending necrotizing mediastinitis of the anterior mediastinum, Guan et al suggested that the infection site should determine (...) Infections of the Lung, Pleura and Mediastinum: Surgical Perspective (Treatment) Surgical Treatment of Infections of the Lung, Pleura, and Mediastinum: Overview, Infections of the Lung, Infections of the Pleura Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Pediatrics

16. Infections of the Lung, Pleura and Mediastinum: Surgical Perspective (Overview)

of descending necrotizing and chronic mediastinitis The approach to the patient with descending necrotizing mediastinitis should include wide local mediastinal debridement, drainage, and irrigation in addition to the use of broad-spectrum antibiotics. Tracheostomy to protect the airway is generally also required. In a retrospective review (2000-2010) of 15 Chinese patients with descending necrotizing mediastinitis of the anterior mediastinum, Guan et al suggested that the infection site should determine (...) Infections of the Lung, Pleura and Mediastinum: Surgical Perspective (Overview) Surgical Treatment of Infections of the Lung, Pleura, and Mediastinum: Overview, Infections of the Lung, Infections of the Pleura Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Pediatrics

17. Mediastinum, Germ Cell Tumors

cross-sectional imaging modalitites, MRI is nonspecific with regard to tissue diagnosis of anterior mediastinal masses. The differential diagnosis of anterior mediastinal masses is wide, and false-positive diagnoses are possible. Previous Next: Ultrasonography Ultrasonography has traditionally been used to differentiate solid from cystic masses in places other than the mediastinum. However, its role has been extended, and it is now used to differentiate such masses in the anterior mediastinum (see (...) Mediastinum, Germ Cell Tumors Mediastinal Germ Cell Tumor Imaging: Overview, Radiography, Computed Tomography Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzU5MTEwLW92ZXJ2aWV3 processing > Mediastinal Germ Cell

2014 eMedicine Radiology

18. Neurogenic Tumors of the Mediastinum (Treatment)

Neurogenic Tumors of the Mediastinum (Treatment) Neurogenic Tumors of the Mediastinum Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDI3NTg0LXRyZWF0bWVudA== processing > Neurogenic Tumors of the Mediastinum Treatment & Management Updated: Nov 02, 2017 Author: Dale K Mueller, MD; Chief Editor: Mary C Mancini, MD, PhD, MMM Share Email Print Feedback Close Sections Sections Neurogenic Tumors of the Mediastinum Treatment Approach Considerations Treatment selection for a given mediastinal tumor or cyst depends on the diagnosis of the lesion being investigated. [ ] Surgical resection is the primary treatment of choice in a large percentage of cases

2014 eMedicine Surgery

19. Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum (Treatment)

Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum (Treatment) Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method (...) =getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDI3ODE3LXRyZWF0bWVudA== processing > Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum Treatment & Management Updated: Mar 20, 2018 Author: Mary C Mancini, MD, PhD, MMM; Chief Editor: John Geibel, MD, DSc, MSc, AGAF Share Email Print Feedback Close Sections Sections Lymphomas, Endocrine, Mesenchymal, and Other Rare Tumors of the Mediastinum Treatment Approach Considerations Treatment selection for a given

2014 eMedicine Surgery

20. Teratomas and Other Germ Cell Tumors of the Mediastinum (Follow-up)

Teratomas and Other Germ Cell Tumors of the Mediastinum (Follow-up) Teratomas and Other Germ Cell Tumors of the Mediastinum Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDI3Mzk1LXRyZWF0bWVudA== processing > Teratomas and Other Germ Cell Tumors of the Mediastinum Treatment & Management Updated: Oct 31, 2017 Author: Dale K Mueller, MD; Chief Editor: Mary C Mancini, MD, PhD, MMM Share Email Print Feedback Close Sections Sections Teratomas and Other Germ Cell Tumors of the Mediastinum Treatment Approach Considerations Treatment selection for a given mediastinal tumor or cyst depends upon the diagnosis of the lesion being investigated. Surgical resection is indicated in a large

2014 eMedicine Surgery

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