Surgical Analysis of Mediastinal Tumor

종격동 종양의 외과적 고찰

  • Published : 1993.05.01

Abstract

For the purpose of evaluation of clinical characteristics and histopathological properties in mediastinal tumor, and to provide the guidelines of surgical management of mediastinal tumor,238 patients with mediastinal tumors treated during the period from January 1983 to December 1991 were reviewed at Seoul National University Hospital. There were 106 males & 132 females, and their ages ranged from 3 months to 73 years, with average 33.6 years. The most frequently encountered tumor site was anterosuperior mediastinum followed by posterior, and middle mediastinum. In the pathological viewpoint, thymoma was the most frequent type followed by neurogenic tumor. 81% of the tumor were benign and 19% were malignant. Half of the malignant tumors were neurogenic tumors. Malignancy rate was high in pediatric patients compared to adults as 40% and 19% respectively. 65% of patients were asymptomatic at diagnosis.There was no operative mortality. Post operative complications were occurred in 35 cases. Most frequent complications were adjacent peripheral nerve injuries. But other usual operative complications, such as bleeding, chylothorax, infection, were relatively rare.

Keywords

References

  1. General Thoracic Surgery v.3 Primary tumors and cysts of the mediastimum Shields,T.W.
  2. Chest Surgery Clinics v.2;1 Mediastinal Tumor John,R.;Benfild(et al.)
  3. Ann J Surg v.54 Relative frequency and site of predilection of intrathoracic tumor Blades,B.
  4. 서울의대 학술지 v.18 종격동 종양 및 낭종 김종환
  5. 대흉외지 v.16 종격동 종양 및 낭포 박이태
  6. Ann Thorac Surg v.11 Mediastinal tumors and cysts Oldham,H.N.Jr.
  7. Ann Thorac Surg v.44 Primary cysts and neoplasms of the mediastinum. Recent changes in clinical presentation, methods of diagnosis, management and results Davis,R.D.Jr.;Oldham,H.N.Jr.;Sabistion,D.C.Jr.
  8. 대흉외지 v.16 종격동 종양의 임상적 고찰 유의성;이명희;유병하;김병열;이흥섭;이정호
  9. 대흉외지 v.18 종격동 종양의 외과적 고찰 김해균;이종국;이두연(외)
  10. 대흉외지 v.18 종격동 종양 낭종 50례에 대한 임상적 고찰 조순걸;김범식;노태훈(외)
  11. 대흉외지 v.18 종격동 종양의 임상적 고찰 김종진;유시원;최영호;장정
  12. 대흉외지 v.21 종격종양 및 낭종에 대한 임상적 고찰 김혁;지행옥
  13. 대흉외지 v.21 원발성 종격동 종양 및 낭종의 임상적 고찰 박재길;박건;김치경(외)
  14. 대흉외지 v.23 원발성 종격동 종양에 관한 임상적 고찰 최필조;이종수;이성광
  15. 대흉외지 v.23 원발성 종격동 종양에 대한 외과적 고찰 오태윤;장봉현;이종태;김규태
  16. 대흉외지 v.23 원발성 종격동 종양 및 낭종의 임상적 고찰 정종하;김창수;정언섭(외)
  17. 대흉외지 v.23 종격동 종양의 임상적 고찰 신호승;공석준;김병주;박희철;홍기우
  18. 대흉외지 v.23 종격동 종양의 임상적 경험 송진천;안병희;오봉석;김상형;이동준