Blanco-Covarrubias C

Language: Spanish
References: 10
Page: 81-84
PDF size: 552.26 Kb.

ABSTRACT

Introduction. The mediastinum is the space between the upper thoracic orifice, the diaphragm, the sternum, the spine and the mediastinal pleura at the sides.
Material and Methods. A clinical, observational and retrospective research study that analyzes the incidence and management of mediastinal tumors.
Results. A total of 11 patients, mean age of 30 years. It was found predominantly in women of 54.5% and men of 46.5%, with 73% of symptomatic, dyspnea and cough (54.5%) and chest pain the most common (also presented hemoptysis, weight loss and fever). The most common types were: Non-Hodking Lymphoma (3), Bronchogenic Cysts (2), Cavernous Hemangiomas (2), Teratoma, Teratocarcinoma, Pericardial Cyst and Leiomyosarcoma (1). As for complications, 72.7% did not present, the rest: 1 patient died by Leiomyosarcoma due to AMI and 2 patients with CAP. Diagnostic technique used: TAC 73% and MRI 27%. Approach used: 64% Posterolateral thoracotomy and sternotomies in 18%. Days of hospitalization 78% from 5 to 10 days and 22% 10-15 days. Biopsies were taken transsurgically.
Conclusion Mediastinal neoplasms are a heterogeneous group with a nonspecific epidemiological variety and affect adults of productive age. It is important to consider it as a differential when faced with any suspicion. It is primarily symptomatic and it is essential to incorporate videoassisted thoracoscopy as a tool for routine use in our hospital. This way reduces the time of stay in hospital and thus reduces the costs per patient generated by this type of diagnostic approach.

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