Author(s): Armand G. C. Sarmiento, M.D. and Jose Luis J. Danguilan, M.D., F.P.C.S.
To analyze the different approaches in diagnosing and managing mediastinal cysts in a single tertiary specialty hospital.
A retrospective study on patients with mediastinal cysts who underwent surgery from January 2002 to December 2009 in a single tertiary hospital. The authors analyzed demographic data, clinical presentation, diagnostic procedures, lesion location, size, type of surgery carried out, histological diagnosis, postoperative morbidity and mortality.
Thirty-seven patients with mediastinal cysts; 21 female (57%) and 16 male (43%). Mean age was 33.5 years. Most of the patients were asymptomatic (27%) but among those with symptoms most common were dyspnea and chest pain. The right side was the most common laterality 24 (64.9%). The anterior mediastinum was the most commonly involved site 34(91.9 %). Sizes ranged from 4 to 27cm with a mean of 11.5cm. Most of the cystic lesions were benign except for 1 which showed malignancy. There was no postoperative death. Morbidities were atelectasis, air leak and chylothorax.
Surgical excision of mediastinal cyst is indicated to prevent complications from rupture and further enlargement leading to respiratory embarrassment, low morbidity and no mortality.
Key words: Mediastinal cyst, mediastinum