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CC BY 4.0 · Surg J (N Y) 2022; 08(02): e141-e144
DOI: 10.1055/s-0042-1749429
Original Article

Single-Center Experience of Management of Mediastinal Cyst—A Case Series

Anil Gokce 
1   Department of Thoracic Surgery, Ankara City Hospital, University of Health Sciences, Bilkent, Ankara, Turkey
,
Elgun Valiyev
2   Department of Thoracic Surgery, Gazi University Medicine Faculty, Yenimahalle, Ankara, Turkey
,
Merve Satir Turk
2   Department of Thoracic Surgery, Gazi University Medicine Faculty, Yenimahalle, Ankara, Turkey
,
Muhammed Sayan
2   Department of Thoracic Surgery, Gazi University Medicine Faculty, Yenimahalle, Ankara, Turkey
,
Ali Celik
2   Department of Thoracic Surgery, Gazi University Medicine Faculty, Yenimahalle, Ankara, Turkey
,
I Cuneyt Kurul
2   Department of Thoracic Surgery, Gazi University Medicine Faculty, Yenimahalle, Ankara, Turkey
,
A Irfan Tastepe
2   Department of Thoracic Surgery, Gazi University Medicine Faculty, Yenimahalle, Ankara, Turkey
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Abstract

Background Mediastinal cysts are benign lesions that may be seen in adulthood as well as in childhood. Mostly congenital lesions constitute 20 to 32% of lesions located in the mediastinum. The main cystic masses are congenital benign cysts (bronchogenic, esophageal replications, neuroenteric, pericardial and thymic cysts), meningocele, mature cystic teratoma, and lymphangioma. In this study, we aimed to analyze the mediastinal cysts operated in our clinic according to the histopathological type, surgical type, morbidity rates and to contribute to the literature on these rare lesions.

Methods The records of patients with mediastinal cysts who were operated in Gazi University Faculty of Medicine Department of Thoracic Surgery, between January 2013 and June 2021, were reviewed retrospectively.

Results A total of 32 patients were included the study. Thirteen (40.6%) of the patients were male and 19 (59.4%) were female. The mean age was 45 (range: 12–71). The most common symptom in patients was chest pain with 12 patients. Histopathologically, the most common subtype was thymic cyst. Video-assisted thoracic surgery was applied in 19 patients (59.3%), thoracotomy in 8 patients (25%), and sternotomy in 5 patients (15.63%). There was no mortality.

Conclusion In patients with mediastinal cysts, the prognosis after complete excision is excellent and rates of morbidity and mortality associated with surgery are low.

Keywords

mediastinal cysts - thymic cyst - foregut cysts - video assisted surgery

Meeting Presentation

This paper has not been presented in any meeting.




Publikationsverlauf

Eingereicht: 31. Juli 2021

Angenommen: 28. Februar 2022

Artikel online veröffentlicht:
30. Juni 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Salyer DC, Salyer WR, Eggleston JC. Benign developmental cysts of the mediastinum. Arch Pathol Lab Med 1977; 101 (03) 136-139
    PubMedGoogle Scholar
  • 2 Yazici UE, Celik A. Mediastinal cystic lesions. Bulletin of Thoracic Surgery. Turkish Thoracic Society 2011; 2: 66-72
    PubMedGoogle Scholar
  • 3 Suen HC, LoCicero J, Feins RH, Colson YL, Rocco G. Foregut Cysts of the Mediastinum in Adults. Shields General Thoracic Surgery. 8th edition. Philadelphia: Wolters Kluwer; 2019. 44. 22-68
    Google Scholar
  • 4 Kumar A, Persuad P, Shiwalkar N. Intraoperative catastrophe during benign mediastinal tumor mass excision: a case report. Cureus 2019; 11 (06) e4941
    PubMedGoogle Scholar
  • 5 Gürsoy S, Ozturk A, Ucvet A, Erbaycu AE. [Benign primary cystic lesions of mediastinum in adult: the clinical spectrum and surgical treatment]. Arch Bronconeumol 2009; 45 (08) 371-375
    CrossrefPubMedGoogle Scholar
  • 6 Bastos P, Magalhães A, Fernandes G. et al. [Primary cysts and tumors of the mediastinum]. Rev Port Pneumol 2007; 13 (05) 659-673
    PubMedGoogle Scholar
  • 7 Petkar M, Vaideeswar P, Deshpande JR. Surgical pathology of cystic lesions of the mediastinum. J Postgrad Med 2001; 47 (04) 235-239
    PubMedGoogle Scholar
  • 8 Brzeziński D, Łochowski MP, Kozak J. Videothoracoscopy in the treatment of mediastinal cysts. Wideochir Inne Tech Malo Inwazyjne 2014; 9 (03) 393-397
    PubMedGoogle Scholar
  • 9 Jiang N, Lu Y, Wang J. Is single-port video-assisted thoracic surgery for mediastinal cystectomy feasible?. J Cardiothorac Surg 2019; 14 (01) 18
    CrossrefPubMedGoogle Scholar
  • 10 Aravena C, Patel J, Goyal A. et al. Role of endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis and management of mediastinal cyst. J Bronchology Interv Pulmonol 2020; 27 (02) 142-146
    CrossrefPubMedGoogle Scholar
  • 11 Ulaş AB, Aydın Y, Eroğlu A. Comparison of video-assisted thoracoscopic surgery and thoracotomy in the treatment of mediastinal cysts. Turk Gogus Kalp Damar Cerrahisi Derg 2018; 26 (02) 265-271
    CrossrefPubMedGoogle Scholar
  • 12 Chen K, Zhang X, Jin R. et al. Robot-assisted thoracoscopic surgery for mediastinal masses: a single-institution experience. J Thorac Dis 2020; 12 (02) 105-113
    CrossrefPubMedGoogle Scholar