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KMID : 0364019900230020325
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Korean Journal of Thoracic and Cardiovascular Surgery
1990 Volume.23 No. 2 p.325 ~ p.332
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Clinical Review of Primary Mediastinal Tumors & Cysts
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정종화/Jeong, J.H.
김창수/정언섭/박성달/이재성/조성래/김송명/Kim, C.S./Jeong, E.S./Park, S.D./Lee, J.S./Cho, S.R./Kim, S.M.
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Abstract
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Complications of the mediastinal tumors and cysts are malignant change, infection, bleeding, local invasion and mass effect to heart, lung and other mediastinal structures. But early surgical excision and proper treatments bring patients to good clinical course and results. Therefore mediastinal tumors and cysts are surgically interesting diseases
We report the analysis of the 58 cases of medmainai tumors and cysts, experienced. in the Department of Cardiothoracac Surgery of the Kosin Medical College from July 1979 to June ´989.
The results were as follows
Sex ratio of male to female to female was 1.3 : 1. Range´ of age was from 11 to 64 years and mean agn was 34.3 years. The thymomas were 14 cases(24%), the teratomas were 19 cases(33e0o), the neurogenic tumors were 10 cases(17%), the cysts were 9 cases(15%), the carcinomas were 3 cases (5% ), the thyroid tumor was 1 case (2% ), the Castleman´s disease was 1 case (2%) and unclassified tumor was 1 case (2%) . Malignant tumors were 12 cases (21%) of the 58 cases. Most frequent symptom was chest pain and discomfortness and relationship of symptom and malignancy was significant. Complete removal of tumor was peformed on the 47 cases(92%) and partial excision was 3 cases(6%). Inoperable cases were treated with anticancer chemotherapy and radiotherapy. Postoperative complications were wound infection, Homer´s syndrome, phrenic nerve palsy, mediastinal hematoma and pleurisy. There was no case of postoperative mortality and good clinical course in surgically completely resected cases.
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