Akademik Veri Yönetim Sistemi
JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, cilt.4, sa.5, ss.381-385, 2013 (ESCI)
Aim: Cystic lesions of the mediastinum are rare. Most of then: are congenital lesions and account for 20% to 30 % of all primary masses of the mediastinum. A retrospective study of primary mediastinal cystic lesions (PMCL) was conducted to review their clinical, radiological, and pathological features, as well as the early and long-term results of surgical management. Material and Method: From January 1998 through July 2008, 77 patients-47 females and 30 males, aged 4-81 years with PMCL were treated in our department. All of the patients were analysed acording to the age, gender, symptoms, types of cysts and type of surgery. Results: There were thirty male patients (40 %), aged 4-81 years with a mean age of 39.2. and forty-seven female (60 %) patients, aged 16-65 with a mean age of 35.8. Some of the patients' pathology slides who were diagnosed as benign cysts before are re-examined then reclassified with the new diagnosis. There were thirty-one bronchogenic cysts (44 %; 19 female, 12 males), eighteen pericardial coelomic cysts (24 %); 7 female, 11 male), five mediastinal hydatid cysts (6 %; 4 female, 1 male), five enterogenous cysts (6 %; 3 female, 2 male), eight thymic cysts (10 %; 7 female, 1 male), two cystic lymphangiomatosis (4 %; 1 female, 1 male), five teratogenous cysts (6 To: 4 female, I male), and three pleural cysts (2 female, 1 male). The main symptoms were pain, fever, dyspnea, and coughing. Twenty-three patients)30 %) were asymptomatic. All of the patients underwent surgery. Mean stay in the hospital was 8 days. We did not have any deaths. Discussion: Most of the patients with PMCL were female. Most of the PMCL were foregut lesions. Despite varied location and histology, the clinical presentation of mediastinal cysts was similar. Surgery provides the best chance for cure in all cases of PMCL