Rendón-García H, Covarrubias-Espinoza G, Germán J

Language: Spanish
References: 11
Page: 170-174
PDF size: 64.92 Kb.

ABSTRACT

Background. Malignant mediastinum pediatric tumors fluctuated among 40 to 72%. Patients and methods. Retrospective and descriptive study to identify mediastinal cancer mass and its complications of 33 pediatrics patients since June 1992 to June 2003. Include in this search: Pediatric age, oncology diseases, mediastinal mass, chest roentgenograms, and study histopathology. The following data studied: Age, sex, admission diagnosis, evolution time, physical examinations, superior vena cava syndrome (SVCS), mediastinal syndrome (SM), metabolic complications, laboratories, chemotherapy treatment, tumor complications and survival. Results. Lymphoma Hodgkin was the principal diagnosis on thirty three patients. The time disease evolution was one to three weeks on 8 (24.24%) patients. Fever and dyspnea were the principal symptoms. The physical examination detected cervical adenomegaly in 45%. Seventy percent were asymptomatic. The SVCS and SM were performed by lymphomas in 64%. Anterior and middle mediastinum was the most common involucrate in 82%. SVCS and SM were complications in nine patients; five of these started emergency oncology treatment. Only one patient dead by the mediastinal mass and die free survival disease were 69.69%. Conclusions. Mediastinal mass has high asymptomatic presentation and frequently high complications. Physical distress and general cancer symptoms show the principal suspect clinic, when the mediastinum is occupied implicate an emergency evaluation.

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