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Abstract

ABSTRACT: BACK GROUND: Cystic lesions of the mediastinum are not uncommon, comprising 20% to 32% of all primary mediastinal tumors. They are particularly significant because of the difficulty in making a differential diagnosis: they can simulate multiple lesions, both benign and malignant. OBJECTIVE: The objectives of this study were to review the clinical presentations and the results of surgery in patients with mediastinal cysts. PATIENTS AND METHODS: A retrospective study of twenty-two patients with mediastinal cysts, who were admitted and surgically treated at Ghazi Al-Hariri for surgical sub specialties hospital during ten years from January 2003 to December 2013. Clinical features, imaging techniques, surgical approaches, morbidity, mortality and follow-up were analyzed. RESULTS: Out of twenty-two patients with mediastinal cysts, there were 13 males (59.09%) and 9 females (40.9%) patients. There were 12 pediatric (54.54%) patients ≤ 16 years of age and 10 adults (45.45%) patients (age range, 36 days to 40 years; average age, 20 years). All patients with mediastinal cysts were symptomatic. Overall common symptoms were dyspnea (68.1%), followed by cough (50%), chest pain (31.8%), tachypnea (4.5%), dysphagia (4.5%), vomiting (4.5%), and fever (4.5%). Cysts excision were performed in all cases with an uneventful recovery and with no recurrence during the follow up period. CONCLUSION: Most of mediastinal cysts located at middle compartment, Surgery for mediastinal cysts is associated with low morbidity and mortality rates and a very low recurrence rate. It offers a definitive diagnosis and cure.

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