THE EVALUATION OF 36 PATIENTS UNDERGOING CERVICAL MEDIASTINOSCOPY

Recep Demirhan, Hasan Fehmi Küçük, İrfan Sancaklı, Nagehan Özdemir, Yaman Özyurt, *Sevinç Bilgin, Necmi Kurt, Mustafa Gülmen

Kartal Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, İstanbul
*SSK Süreyyapaşa Göğüs, Kalp ve Damar Hastalıkları Hastanesi, Göğüs Hastalıkları Kliniği, İstanbul

Background: The aim of this study is to consider the patients to whom cervical mediastinoscopy was performed, retrospectively and to emphasize the necessity of mediastinoscopy in a chest surgery clinic for the staging of mediastinal malignancies routinely.

Methods: We evaluate 36 patients underwent medistinoscopy retrospectively in the second surgical clinic of our hospital. We performed mediastinoscopy in 25 (69%) patients with mediastinal masses or lymphadenopathy and in 11 (31%) patients with lung cancers that couldnt been diagnosed with non-invasive methods.

Results: Strict diagnosis was made mediastonoscopically in all patients except one. In four of the 11 patients, in whom we performed mediastinoscopy for the staging, lymphnodes were attacked and neoadjuvant chemotheraphy was done in these patients in the oncology clinic. In the remaining lymphnodes negative 7 patients surgical resection was performed.

Conclusions: Cervical mediastinoscopy is a reliable method in the diagnosis of intrathoracic pathologies and staging of lung cancer.

Keywords : Cervical mediastinocopy, mediastinal mass, lung cancer

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