A huge posteromedial mediastinal cyst complicated with vertebral dislodgment
<p>Abstract</p> <p>Background</p> <p>Mediastinal cysts compromise almost 20% of all mediastinal masses with bronchogenic subtype accounting for 60% of all cystic lesions. Although compression of adjoining soft tissues is usual, spinal complications and neurological symp...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2006-08-01
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| Series: | World Journal of Surgical Oncology |
| Online Access: | http://www.wjso.com/content/4/1/56 |
| _version_ | 1818497066380296192 |
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| author | Manoussaridis Jordan T Argiriou Michalis E silimingas Nikolaos T Exarchos Dimitrios N Zografos George C Kouerinis Ilias A Misiakos Evangelos P Fotiadis Constantine I Bellenis Ion P |
| author_facet | Manoussaridis Jordan T Argiriou Michalis E silimingas Nikolaos T Exarchos Dimitrios N Zografos George C Kouerinis Ilias A Misiakos Evangelos P Fotiadis Constantine I Bellenis Ion P |
| author_sort | Manoussaridis Jordan T |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Mediastinal cysts compromise almost 20% of all mediastinal masses with bronchogenic subtype accounting for 60% of all cystic lesions. Although compression of adjoining soft tissues is usual, spinal complications and neurological symptoms are outmost rare and tend to characterize almost exclusively the neuroenteric cysts.</p> <p>Case presentation</p> <p>A young patient with intermittent, dull pain in his back and free medical history presented in the orthopaedic department of our hospital. There, the initial clinical and radiologic evaluation revealed a mediastinal mass and the patient was referred to the thoracic surgery department for further exploration. The following computed tomography (CT) and magnetic resonance imaging (MRI) shown a huge mediastinal cyst compressing the T4-T6 vertebral bodies. The neurological symptoms of the patient were attributed to this specific pathology due to the complete agreement between the location of the cyst and the nervous rule area of the compressed thoracic vertebrae. Despite our strongly suggestions for surgery the patient denied any treatment.</p> <p>Conclusion</p> <p>In controversy with the common faith that the spine plays the role of the natural barrier to the further expansion of cystic lesions, our case clearly indicates that, exceptionally, mediastinal cysts may cause severe vertebral complications. Therefore, early excision should be considered especially in young patients or where close follow up is uncertain.</p> |
| first_indexed | 2024-12-10T18:40:42Z |
| format | Article |
| id | doaj.art-32acd335acc149dd825fd147bbc50888 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-12-10T18:40:42Z |
| publishDate | 2006-08-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-32acd335acc149dd825fd147bbc508882022-12-22T01:37:39ZengBMCWorld Journal of Surgical Oncology1477-78192006-08-01415610.1186/1477-7819-4-56A huge posteromedial mediastinal cyst complicated with vertebral dislodgmentManoussaridis Jordan TArgiriou Michalis Esilimingas Nikolaos TExarchos Dimitrios NZografos George CKouerinis Ilias AMisiakos Evangelos PFotiadis Constantine IBellenis Ion P<p>Abstract</p> <p>Background</p> <p>Mediastinal cysts compromise almost 20% of all mediastinal masses with bronchogenic subtype accounting for 60% of all cystic lesions. Although compression of adjoining soft tissues is usual, spinal complications and neurological symptoms are outmost rare and tend to characterize almost exclusively the neuroenteric cysts.</p> <p>Case presentation</p> <p>A young patient with intermittent, dull pain in his back and free medical history presented in the orthopaedic department of our hospital. There, the initial clinical and radiologic evaluation revealed a mediastinal mass and the patient was referred to the thoracic surgery department for further exploration. The following computed tomography (CT) and magnetic resonance imaging (MRI) shown a huge mediastinal cyst compressing the T4-T6 vertebral bodies. The neurological symptoms of the patient were attributed to this specific pathology due to the complete agreement between the location of the cyst and the nervous rule area of the compressed thoracic vertebrae. Despite our strongly suggestions for surgery the patient denied any treatment.</p> <p>Conclusion</p> <p>In controversy with the common faith that the spine plays the role of the natural barrier to the further expansion of cystic lesions, our case clearly indicates that, exceptionally, mediastinal cysts may cause severe vertebral complications. Therefore, early excision should be considered especially in young patients or where close follow up is uncertain.</p>http://www.wjso.com/content/4/1/56 |
| spellingShingle | Manoussaridis Jordan T Argiriou Michalis E silimingas Nikolaos T Exarchos Dimitrios N Zografos George C Kouerinis Ilias A Misiakos Evangelos P Fotiadis Constantine I Bellenis Ion P A huge posteromedial mediastinal cyst complicated with vertebral dislodgment World Journal of Surgical Oncology |
| title | A huge posteromedial mediastinal cyst complicated with vertebral dislodgment |
| title_full | A huge posteromedial mediastinal cyst complicated with vertebral dislodgment |
| title_fullStr | A huge posteromedial mediastinal cyst complicated with vertebral dislodgment |
| title_full_unstemmed | A huge posteromedial mediastinal cyst complicated with vertebral dislodgment |
| title_short | A huge posteromedial mediastinal cyst complicated with vertebral dislodgment |
| title_sort | huge posteromedial mediastinal cyst complicated with vertebral dislodgment |
| url | http://www.wjso.com/content/4/1/56 |
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