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KMID : 0365819770170020245
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Journal of Pusan Medical College
1977 Volume.17 No. 2 p.245 ~ p.249
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Clinical Review of Benign Mediastinal Tumor
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Abstract
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Complicstions of the benign Mediastinal tumor are malignant -change, infectionbleeding, local invasion and heart and lung compression. Because of these complications the patients can bring grave clinical course and results. With only early diagnosis and adequate management can protect from these complications and bring good results. In the BNU hospital during the period of 22 years, from 1956 to 1976, managed 35 cases of benign Mediastinal tumors. Among these 35 cases, we selected 21 cases which are in exact clinical record and did clinical analysis. Age distribution was from 6 years to 68years and the mean age was 28.3 years. Male to female sex distribution of the tumor according to tissue pathology was as follows; Neurogenic tumors are distributed through whole age range, Cysts are distributed to teen agers and thirties, Teratodermoids are distributed to teen agers and twenties and lymphoma appeared before thirties. Characteristic locations of the tumors according to the tissue pathology in the Mediastinum are as follows; in the Superior Mediastinum located Cysts, Teratodermoids, Thymomas in this order, in the Anterior Mediastinum located Teratodermoids, Cysts, Thymomas, in the middle Mediastinum located Cysts, Teratodermoids, Neurogenic Tumors, in the Posterior Mediastinum there located only Neurogenic Tumors. 28.5 percent of the patients haven´t any symptoms or signs. The symptoms were 22.8 % chest pain, 22.8% dysphasia 22.8% fatigue.
The signs were 47% weight loss, 17.6% dysphagia in this order. After developing the symptoms or signs, 47,°0 of the patients were diagnosed within month. The complications of the benign Mediastinal Tumors were developed in 6 cases out of 21 cases, this means 28.5% complications.
In operation, all of the Mediastinal Tumors were removed. One was removed along with lung lobe resection and one was expired during operation because of very poor general condition.
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