Asunto(s)
Humanos , Adulto , Femenino , Colecistitis/diagnóstico , Colecistitis/fisiopatología , Colecistitis/terapia , Hipergammaglobulinemia/diagnóstico , Hipergammaglobulinemia/fisiopatología , Hipertensión/etiología , Hipertensión/terapia , Quiste Mediastínico/diagnóstico , Quiste Mediastínico/fisiopatología , Quiste Mediastínico/terapia , Tomografía Computarizada de Emisión/métodos , Tomografía Computarizada de EmisiónRESUMEN
Se presenta el caso de una paciente joven, con una masa en el cuello, asintomatica, no dependiende del tiroides, quistica, que recidiva luego de puncionarla. Durante el acto operatorio, se encontro una lesion uniloculada, que contenia un liquido claro, localizada por debajo de polo inferior izquierdo del tiroides, sin hacer contacto con esta glandula, con extension al mediastino anterior, diagnosticada histologicamente como quiste del timo. Se revisa la literatura sobre el tema y se concluye que esta es una entidad poco comun
Asunto(s)
Adulto , Humanos , Femenino , Quiste Mediastínico , Quiste Mediastínico/fisiopatología , Quiste Mediastínico/cirugía , Quiste Mediastínico/terapia , Faringe/anatomía & histología , Timo/anatomía & histologíaRESUMEN
This study included fifty five patients, thirty one males and twenty four females, who were admitted for mediastinal masses in Alexandria main University Hospital during the period from 1980 to 1988. Symptoms and signs were present in 60.5% of patients, such as cough in 18.2% Dyspnoea in 10%, Chest pain in 10%, superior vena canal obstruction in 7.3%, Dysphagia in 5%, and other. 42 of the presenting patients required thoracotomy for diagnosis and treatment, 9 patients were diagnosed by mediastinoscopy and mediastinotomy, the remaining cases were diagnosed by lasser procedures such as cervical lymph node biopsy in two patients, fiberoptic bronchoscopy was done in two and the remaining patient diagnosed by CT guided needle biopsy. The primary mediastinal masses included mediastinal lymphadenopathy [41.8%], mediastinal cysts [14.55%], thymic tumors [10.9%], retrosternal goitre [7.27%], carcinoma of the mediastinum [5.45%], germ cell tumors [5.45%], mesenchymal tumors [3.64%], and neurogenic tumors [7.27%]. The anterosuperior mediastinum was the most commonly involved site of mediastinal masses [65.5%], followed by the posterior mediastinum [21.8] and the middle mediastinum [10.9%]. 45.5% of the cases were treated by excision, 45.5% were treated by excision followed by radio therapy and chemotherapy and 9.1% were treated medically by antituberculous drugs and steroids