E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


A study of mediastinal mass lesions by various imaging modalities

Nipa Patidar, Ketan Patel, Parul Dutta, Bhavesh Goyani.

Abstract
Background: The diseases affecting the mediastinum very considerably, ranging from tumor, cysts, vascular anomalies, lymph node masses, mediastinitis, mediastinal fibrosis, to pneumomediastinum. For accurate diagnosis various imaging modalities are now available, which helps in in-depth study of various masses.

Objective: To study imaging appearance, distribution, and other features of various mediastinal mass lesions. Also to compare the various modality of imaging findings with each other and with histopathologic diagnosis.

Materials and Methods: This is a prospective study carried out in suspected cases of mediastinal masses. All participants were underwent various imaging procedures such as chest radiographs, barium swallowing study, computerized tomography (CT) scan, and magnetic resonance imaging.

Result: Of total 50 participants, 23 had benign, 22 had malignant, and 5 had vascular lesions. The most common site of mediastinal mass was anterior mediastinum (25), in which the most common type of masses was of thymic origin (9). Masses of posterior mediastinum (18) were other common types, with esophageal carcinoma (7) being the most common lesion. In the CT scan, of 42 lesions, 29 showed solid, 6 showed cystic, and 7 showed mixed consistencies, whereas 13 showed calcifications.

Conclusion: The most common type of mass in anterior mediastinum is thymic mass. CT scan and magnetic resonance imaging help the clinicians and radiologists in identifying the precise location, extent, and characterization of these masses.

Key words: Mediastinal masses, computerized tomography scan, magnetic resonance imaging


 
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REFERENCES
1. Johnson D, Shah P, Collins P, Wingley C. Heart and mediastinum. In: Gray’s Anatomy, Chapter 59, 39th edn. New York: Churchill Livingstone, 2008. pp. 976-7. [PMC Free Fulltext]   
2. Whitten CR, Khan S, Munneke GJ, Grubnic S. A diagnostic approach to mediastinal abnormalities. Radiographics 2007; 27(3):657-71. [DOI via Crossref]    [Pubmed]   
3. Gregson RHS, Whitehouse RW, Wright AR, Jenkins JPR. The mediastinum. In: Textbook of Radiology and Imaging, Chapter 2, Vol 1, 7th edn., Suttton P (Ed.). London, UK: Churchill Livingstone, 2003. pp. 57-86.
4. Stones PJ, Torres WE, Colvin RS, Meier WL, Sprawls P, Rogers JV Jr. Effectiveness of CT in evaluating intrathoracic masses. AJR Am J Roentgenol 1982;139(3):469-75. [DOI via Crossref]    [Pubmed]   
5. Hounsfield GN. Computerized transverse axial scanning (tomography). 1. Description of system. Br J Radiol 1973;46(552):1016-22. [DOI via Crossref]    [Pubmed]   
6. Naidich DP, Webb WR, Muller NL, Zerhouni EA, Krinsky GA, Seigelman SS (Eds.). Mediastinum. In: Computed Tomography and Magnetic Resonance of Thorax, Chapter 2, 3rd edn. Philadelphia: Lippincott Williams and Wilkins, 1999. pp. 38-160.
7. Davis RD Jr, Oldham HN Jr, Sabiston DC Jr. Primary cysts and neoplasms of the mediastinum: recent changes in clinical presentation, methods of diagnosis, management, and results. Ann Thorac Surg 1987;44(3):229-37. [DOI via Crossref]   
8. Salonen O, Kivisaari L, Standertskjöld-Nordenstam CG, Oksanen K, Lappalainen K. Chest radiography and computed tomography in the evaluation of mediastinal adenopathy in lymphoma. Acta Radio 1987;28(6):746-50. [DOI via Crossref]   
9. Levine MS, Chu P, Furth EE, Rubesin SE, Laufer I, Herlinger H. Carcinoma of the esophagus and esophagogastric junction: sensitivity of radiographic diagnosis. AJR Am J Roentgenol 1997;168(6):1423-6. [DOI via Crossref]    [Pubmed]   
10. Strollo DC, Rosado de Christenson ML, Jett JR. Primary mediastinal tumors. Part 1: tumors of the anterior mediastinum. Chest 1997;112(2):511-22. [DOI via Crossref]    [Pubmed]   
11. Merten DF. Diagnostic imaging of mediastinal masses in children. AJR Am J Roentgenol 1992;158(4):825-32. [DOI via Crossref]    [Pubmed]   
12. Theros EG. 1976 Caldwell Lecture: varying manifestation of peripheral pulmonary neoplasms: a radiologic-pathologic correlative study. AJR Am J Roentgenol 1977;128(6):893-914. [DOI via Crossref]    [Pubmed]   
13. Zerhouni EA, Scott WW Jr, Baker RR, Wharam MD, Siegelman SS. Invasive thymomas: diagnosis and evaluation by computed tomography. J Comput Assist Tomogr 1982;6(1):92-100. [DOI via Crossref]    [Pubmed]   
14. Cohen AJ, Thompson LN, Edward FH, Bellamy RF. Primary cyst and tumors of the mediastinum. Ann Thorac Surg 1991; 51(3):378-86. [DOI via Crossref]   
15. Devis et al. Mediastinal masses: a 10 year study based on 315 cases. J Thoracic cardiovascular surgery. 1956;32:728.

How to Cite this Article
Pubmed Style

Nipa Patidar, Ketan Patel, Parul Dutta, Bhavesh Goyani. A study of mediastinal mass lesions by various imaging modalities. Int J Med Sci Public Health. 2016; 5(7): 1408-1411. doi:10.5455/ijmsph.2016.24102015217


Web Style

Nipa Patidar, Ketan Patel, Parul Dutta, Bhavesh Goyani. A study of mediastinal mass lesions by various imaging modalities. http://www.ijmsph.com/?mno=206066 [Access: September 28, 2020]. doi:10.5455/ijmsph.2016.24102015217


AMA (American Medical Association) Style

Nipa Patidar, Ketan Patel, Parul Dutta, Bhavesh Goyani. A study of mediastinal mass lesions by various imaging modalities. Int J Med Sci Public Health. 2016; 5(7): 1408-1411. doi:10.5455/ijmsph.2016.24102015217



Vancouver/ICMJE Style

Nipa Patidar, Ketan Patel, Parul Dutta, Bhavesh Goyani. A study of mediastinal mass lesions by various imaging modalities. Int J Med Sci Public Health. (2016), [cited September 28, 2020]; 5(7): 1408-1411. doi:10.5455/ijmsph.2016.24102015217



Harvard Style

Nipa Patidar, Ketan Patel, Parul Dutta, Bhavesh Goyani (2016) A study of mediastinal mass lesions by various imaging modalities. Int J Med Sci Public Health, 5 (7), 1408-1411. doi:10.5455/ijmsph.2016.24102015217



Turabian Style

Nipa Patidar, Ketan Patel, Parul Dutta, Bhavesh Goyani. 2016. A study of mediastinal mass lesions by various imaging modalities. International Journal of Medical Science and Public Health, 5 (7), 1408-1411. doi:10.5455/ijmsph.2016.24102015217



Chicago Style

Nipa Patidar, Ketan Patel, Parul Dutta, Bhavesh Goyani. "A study of mediastinal mass lesions by various imaging modalities." International Journal of Medical Science and Public Health 5 (2016), 1408-1411. doi:10.5455/ijmsph.2016.24102015217



MLA (The Modern Language Association) Style

Nipa Patidar, Ketan Patel, Parul Dutta, Bhavesh Goyani. "A study of mediastinal mass lesions by various imaging modalities." International Journal of Medical Science and Public Health 5.7 (2016), 1408-1411. Print. doi:10.5455/ijmsph.2016.24102015217



APA (American Psychological Association) Style

Nipa Patidar, Ketan Patel, Parul Dutta, Bhavesh Goyani (2016) A study of mediastinal mass lesions by various imaging modalities. International Journal of Medical Science and Public Health, 5 (7), 1408-1411. doi:10.5455/ijmsph.2016.24102015217





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