mediastinal tumors dept. of thorac & cardiovasc surg zhujiang hospital
TRANSCRIPT
![Page 1: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/1.jpg)
Mediastinal Tumors
Dept. of Thorac & Cardiovasc Surg
Zhujiang Hospital
![Page 2: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/2.jpg)
The Mediastinum
What is mediastinum?
![Page 3: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/3.jpg)
Subdivision of mediastinum
as seen on cross section
anterior mediastinum (1)
middle mediastinum (2)
posterior mediastinum (3)
![Page 4: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/4.jpg)
Anterior Superior
Thymus GlandAortic ArchSVC Superior Vena CavaLymph NodeParathyroid Gland Ectopic Thyroid Tissue
![Page 5: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/5.jpg)
Middle
PericardiumHeartGreat VesselsTracheaTrachea BifurcationMain BronchiPhrenic NerveHilar Lymph Node
![Page 6: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/6.jpg)
Posterior
EsophagusVagus nervesSympathetic ChainThoracic ductThoracic desending AortaAzygosHemiazygos veinParavertebral Lymphnode
![Page 7: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/7.jpg)
Superior
ThymomaLymphomaThyroid adenomaParathyroid adenoma
![Page 8: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/8.jpg)
Anterior
ThymomaTeratodermoidCarcinomaLymphangiomaLipoma
![Page 9: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/9.jpg)
Middle
Pericardial cystBronchogenic cystEnterogenous cystLymphoma
![Page 10: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/10.jpg)
Posterior
Neurogenic tumor
![Page 11: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/11.jpg)
![Page 12: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/12.jpg)
Symptoms
Cough Shortness of Breath Chest pain Fever , Chills Night Sweats Hoarseness Pleural effusion Horner’s syndrome Diaphragmatic paralysis
![Page 13: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/13.jpg)
Diagnostic
Chest X-RaysCT ( Computed Tomography)MRICT guided needle biopsyMediastinoscopy with biopsyRadionuclide Scanning
![Page 14: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/14.jpg)
Treatment
Varies according location of tumorsCommon --- Surgical resection
Thymic Cancer – Surgery follow by radiation/or chemotherapy
ExceptionLymphatic Tumors
![Page 15: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/15.jpg)
Prognosis
Varies depending on type of tumors and
resection.Benign tumors – excellent prognosisMalignant tumors – depends on the type
and stage
![Page 16: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/16.jpg)
![Page 17: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/17.jpg)
![Page 18: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/18.jpg)
![Page 19: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/19.jpg)
![Page 20: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/20.jpg)
![Page 21: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/21.jpg)
![Page 22: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/22.jpg)
图片
![Page 23: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/23.jpg)
图片
![Page 24: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/24.jpg)
![Page 25: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/25.jpg)
![Page 26: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/26.jpg)
![Page 27: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/27.jpg)
![Page 28: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/28.jpg)
![Page 29: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/29.jpg)
![Page 30: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/30.jpg)
![Page 31: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/31.jpg)
![Page 32: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/32.jpg)
![Page 33: Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital](https://reader036.vdocuments.net/reader036/viewer/2022062321/56649f175503460f94c2e8fa/html5/thumbnails/33.jpg)
Thank you