Diagnostic mediastinoscopy: analysis of 30 patients

Sedat Demircan, İsmail Cüneyt Kurul, İbrahim Can Kürkçüoğlu, Cemil Deniz Yorgancılar

Gazi Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Ankara

Background: Thirty patients with mediastinal lesions which could not be diagnosed with other diagnostic techniques, have been retrospectively rewieved in order to retrospectively evaluate the results of diagnosis objected mediastinoscopy.

Methods: Thirty patients (23 males, 7 females; mean age 45.3 years; range 20 to 65 years) with mediastinal mass underwent diagnostic mediastinoscopy under general anesthesia by the same surgical team by standard cervical approach, between May 2003 and July 2005.

Results: According to the histopathological examination, 14 patients (46.6%) had sarcoidosis, 7 patients (23.3%) had reactive lymph node hyperplasia, 5 patients (16.6%) had tuberculotic lymphadenitis, and 4 patients (13.3%) had metastatic lymph node hyperplasia due to lung cancer-N2.

Conclusion: Our results support the view that mediastinoscopy is a useful method in patients with mediastinal mass which could not be diagnosed with less invasive diagnostic techniques.

Keywords : Mediastinal neoplasms/diagnosis; mediastinoscopy

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