Akademik Veri Yönetim Sistemi
JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, cilt.6, ss.774-778, 2015 (ESCI, TRDizin)
Aim: Benign mediastinal tumors are uncommon lesions encountered in clinical practice, and they have been studied less extensively than other masses. In this study, the clinical features and surgical treatment results of benign mediastinal masses are discussed and compared with a literature review. Material and Method: Between January 1999 and December 2009, 184 patients with benign mediastinal masses who underwent surgical resection in a single thoracic surgery department were analyzed retrospectively. Results: The most common benign mediastinal lesions were median tinal cysts (29.3%), thymic lesions (20.1%), and neurogenic tumors (19%). Children made up 10.9% of the patients. Most of the lesions were located in the anterior mediastinum. While 26.1% of the patients were asymptomatic, the most frequent complaints were dyspnea, chest pain, and cough. Thoracotomy was performed in 61.9% of cases. The other incisions used were median stem notomy, collar incision, mediastinoscopy. collar + median sterna corny, and collar + right thoracotomy. Postoperative complications occurred in 12.5% of the cases and included atelectasis, hemorrhage, wound infection, effusion, extended air leakage, and respiratory failure due to myasthenia gravis. Discussion: Most of the patients with benign mediastinal lesions had clinical complaints, and most could not be diagnosed definitively, due to difficulties with the biopsies and inflammation. This study shows that the resection of benign mediastinal tumor is a successful diagnosis and treatment choice that results in low morbidity and mortality rates.