Analysis of mediastinal lesions: a study of 27 cases

<p><strong>Background: </strong>Mediastinum is a site of non-neoplastic and neoplastic lesions, many of which present as mediastinal masses. The purpose of this study was to study our institutional experience of mediastinal lesions on fine needle aspiration cytology or biopsy.</...

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Main Authors: S Karki, S Chalise
Format: Article
Language:English
Published: Association of Clinical Pathologists of Nepal 2011-10-01
Series:Journal of Pathology of Nepal
Subjects:
Online Access:http://www.nepjol.info/index.php/JPN/article/view/5404
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author S Karki
S Chalise
author_facet S Karki
S Chalise
author_sort S Karki
collection DOAJ
description <p><strong>Background: </strong>Mediastinum is a site of non-neoplastic and neoplastic lesions, many of which present as mediastinal masses. The purpose of this study was to study our institutional experience of mediastinal lesions on fine needle aspiration cytology or biopsy.</p> <p><strong>Materials and Methods: </strong>This was a retrospective study of 27 patients, who had undergone fine needle aspiration cytology or biopsy for mediastinal lesions from April 2009 to November 2010 in the Department of Pathology, Institute of Medicine, Tribhuwan University Teaching Hospital. All details of the patients pertinent clinical history was obtained from case record file in the department.</p> <p><strong>Results: </strong>Out of 27 cases, 18 cases (66.6%) were benign and 7 (26%) were malignant and 2 (7.4%) were inconclusive. Among the malignant lesions, primary tumors constituted 71.5% of cases while metastases were 28.5%. Most of the lesions were seen in the anterior compartment followed by the posterior compartment. Age range was 4 months to 70 years with a mean age of 35.5 years. Thymoma (8 cases) was the commonest lesion seen in mediastinum followed by germ cell tumor and neurogenic tumor.</p> <p><strong>Conclusion: </strong>Benign mediastinal lesions are more common than malignant lesions with thymoma being the most commonly diagnosed mediastinal lesion.</p> <p><strong>Keywords: </strong>Mediastinum; Germ cell tumor; Thymoma; Non Hodgkin Lymphoma</p> <p>DOI: http://dx.doi.org/10.3126/jpn.v1i2.5404</p> <p><em>JPN </em>2011; 1(2): 114-117</p>
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spelling doaj.art-8cc0d9186db44dfb8de6ebe24be6cee72022-12-22T01:58:37ZengAssociation of Clinical Pathologists of NepalJournal of Pathology of Nepal2091-07972091-09082011-10-011211411710.3126/jpn.v1i2.54044396Analysis of mediastinal lesions: a study of 27 casesS Karki0S Chalise1Department of pathology, Institute Of Medicine, Tribhuwan University Teaching Hospital, KathmanduDepartment of pathology, Institute Of Medicine, Tribhuwan University Teaching Hospital, Kathmandu<p><strong>Background: </strong>Mediastinum is a site of non-neoplastic and neoplastic lesions, many of which present as mediastinal masses. The purpose of this study was to study our institutional experience of mediastinal lesions on fine needle aspiration cytology or biopsy.</p> <p><strong>Materials and Methods: </strong>This was a retrospective study of 27 patients, who had undergone fine needle aspiration cytology or biopsy for mediastinal lesions from April 2009 to November 2010 in the Department of Pathology, Institute of Medicine, Tribhuwan University Teaching Hospital. All details of the patients pertinent clinical history was obtained from case record file in the department.</p> <p><strong>Results: </strong>Out of 27 cases, 18 cases (66.6%) were benign and 7 (26%) were malignant and 2 (7.4%) were inconclusive. Among the malignant lesions, primary tumors constituted 71.5% of cases while metastases were 28.5%. Most of the lesions were seen in the anterior compartment followed by the posterior compartment. Age range was 4 months to 70 years with a mean age of 35.5 years. Thymoma (8 cases) was the commonest lesion seen in mediastinum followed by germ cell tumor and neurogenic tumor.</p> <p><strong>Conclusion: </strong>Benign mediastinal lesions are more common than malignant lesions with thymoma being the most commonly diagnosed mediastinal lesion.</p> <p><strong>Keywords: </strong>Mediastinum; Germ cell tumor; Thymoma; Non Hodgkin Lymphoma</p> <p>DOI: http://dx.doi.org/10.3126/jpn.v1i2.5404</p> <p><em>JPN </em>2011; 1(2): 114-117</p>http://www.nepjol.info/index.php/JPN/article/view/5404MediastinumGerm cell tumorThymomaNon Hodgkin Lymphoma
spellingShingle S Karki
S Chalise
Analysis of mediastinal lesions: a study of 27 cases
Journal of Pathology of Nepal
Mediastinum
Germ cell tumor
Thymoma
Non Hodgkin Lymphoma
title Analysis of mediastinal lesions: a study of 27 cases
title_full Analysis of mediastinal lesions: a study of 27 cases
title_fullStr Analysis of mediastinal lesions: a study of 27 cases
title_full_unstemmed Analysis of mediastinal lesions: a study of 27 cases
title_short Analysis of mediastinal lesions: a study of 27 cases
title_sort analysis of mediastinal lesions a study of 27 cases
topic Mediastinum
Germ cell tumor
Thymoma
Non Hodgkin Lymphoma
url http://www.nepjol.info/index.php/JPN/article/view/5404
work_keys_str_mv AT skarki analysisofmediastinallesionsastudyof27cases
AT schalise analysisofmediastinallesionsastudyof27cases