Clinical analysis of the primary mediastinal tumors. |
Soo Young Lee1, Won Taek Kang1, Ha Sook Song1, Y.C. Lee1, Yang Keun Rhee1, Keun Chang2, Eun Taek Jung2, Jae Yoon Yu3, Ho Shin Song3, Kyi Wan Kim3 |
1Department of Internal Medicine, Chonbuk National University Collage of Medicine, Chonju, Chonbuk, Korea 2Department of Internal Medicine, Wonkwang University Collage of Medicine, Chonbuk, Korea 3Department of Internal Medicine, Chonju Presbyterian Medical Center, Chonbuk, Korea |
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Abstract |
This report is an analysis of 60 cases of primary mediastinal tumors and cysts which were experienced in chonbuk National University Hospital, Wonkwang University Hospital and Chonju Presbyterian Medical Center from january 1985 to October 1990.
The result was summarized like this;
1) Age distribution was various from ages of 5 to 75 years. There were 26 males and 34 females, sex ratio of patients was 1: 1.3 (M:F).
2) The most common chief complaint was dyspnea (21 cases, 35%) and followed by chest pain, coughing and chest discomfort. 17 patients (28%) were asymptomatic.
3) The most common primary mediastinal tumor was thymoma, which comprises 28% (17 cases) of all our cases and followed by neurogenic tumor (14 cases, 23%) and germ cell tumor (11 cases, 18%).
4) The incidence of malignancy of all case was 22%; 2 cases were asymptomatic and the most common malignancy was malignant Iympoma (5 cases, 38 .5%).
5) The anterior mediastinum was the most common tumor location and followed by posterior and middle mediastinum. Anterior mediastinal tumors mainly consisted of thymomas and germ cell tumors and posterior mediastinal tumors mainly did neurogenic tumors.
6) Of 60 cases, 21 cases were confirmed histopathologically by percutaneous transthoracic needle lung biopsy.
7) Of 60 cases, 40 cases were received radical tumor resection. |
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