ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Mark K. Ferguson
David B. Skinner
Alex G. Little
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ferguson, M. K.
Right arrow Articles by Little, A. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ferguson, M. K.
Right arrow Articles by Little, A. G.

Ann Thorac Surg 1987;44:583-586
© 1987 The Society of Thoracic Surgeons


Articles

Selective Operative Approach for Diagnosis and Treatment of Anterior Mediastinal Masses

Mark K. Ferguson, M.D.*, Eugene Lee, M.D., David B. Skinner, M.D., Alex G. Little, M.D.

From the Department of Surgery, the University of Chicago Medical Center, Chicago, IL

Accepted for publication April 14, 1987.

* Address reprint requests to Dr. Ferguson, Department of Surgery, the University of Chicago Medical Center, 5841 S Maryland, Box 255, Chicago, IL 60637

We retrospectively reviewed the records of 41 patients with an isolated anterior mediastinal mass to identify whether the traditional surgical approach of resection for both diagnosis and therapy is the optimal approach to these tumors. In addition to plain chest radiographs, clinical evaluation included computed tomography (CT) in 23 and gallium scintigraphy in 23. The initial intervention was attempted excisional therapy in 16 and mediastinoscopy for biopsy in 25. Pathological diagnoses included lymphoma (13), thymoma (11), germ cell tumor (6), carcinoid (2), bronchogenic carcinoma (2), and other benign processes (7). Based on histological findings, nonoperative therapy was the most appropriate treatment in 61%. The clinical selection of the surgical approach was not aided by patient age, symptoms, or findings on CT. The gallium scan was positive in 13 of 15 patients for whom nonoperative therapy was appropriate, and was normal in 7 of 8 for whom excision was indicated. Mediastinoscopy is useful in the diagnosis of anterior mediastinal masses, and may eliminate unnecessary thoracotomy, especially when a gallium scan is positive.




This article has been cited by other articles:


Home page
Eur J Cardiothorac SurgHome page
A. Fiorelli, G. Vicidomini, P. Laperuta, P. Rambaldi, L. Mansi, A. Rotondo, and M. Santini
The role of Tc-99m-2-Methoxy-Isobutyl-Isonitrile Single Photon Emission Computed Tomography in visualizing anterior mediastinal tumor and differentiating histologic type of thymoma
Eur J Cardiothorac Surg, July 1, 2011; 40(1): 136 - 142.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
M. Migliore
Efficacy and safety of single-trocar technique for minimally invasive surgery of the chest in the treatment of noncomplex pleural disease
J. Thorac. Cardiovasc. Surg., November 1, 2003; 126(5): 1618 - 1623.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
E. A. Rendina, F. Venuta, T. De Giacomo, P. P. Ciriaco, E. O. Pescarmona, F. Francioni, A. Pulsoni, F. Malagnino, and C. Ricci
Comparative merits of thoracoscopy, mediastinoscopy, and mediastinotomy for mediastinal biopsy
Ann. Thorac. Surg., April 1, 1994; 57(4): 992 - 995.
[Abstract] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1987 by The Society of Thoracic Surgeons.