Single-port video-assisted thoracoscopic mediastinal tumour
The differentiation between a primary cardiac tumour with cervico mediastinal extension and a mediastinal tumour
infiltrating the myocardium is difficult.
Histology of the mediastinal tumour
showed no somatic malignancy and no foci of residual viable germ cell tumour.
The pathologist conferred a diagnosis of mediastinal tumour
(spindle cell lesion) and the samples were further sent for immunohistochemistry.
Lymphoma was the most frequent primary mediastinal mass and teratoma constituted the commonest benign anterior mediastinal tumour
. Early diagnosis by techniques like CT-guided FNAC/biopsy with IHC studies has greatly enhanced the accuracy of the preoperative diagnosis.
For more accurate haemodynamic information and assistance, we found that using TOE Doppler velocity analysis, then monitoring with a real time colour Doppler mapping provided a quick and precise diagnosis during anterior mediastinal tumour
A rare mediastinal tumour
in a young male mimicking massive pleural effusion.
The sign and symptoms of a mediastinal tumour
may vary from patient to patient and depends on its site, size and involvement of the other organs.
Cervical extension of mediastinal tumours
has been attributed to the presence of pancreatic tissue8 on histopathology however in our case, no evidence of pancreatic tissue was found to be present on detailed histopathological evaluation.
In general, these lesions account for < 1% of all mediastinal tumours
and the thymic tumours account for less than 1% of all neoplasms in children.
Morland, "Anaesthetic outcome and predictive risk factors in children with mediastinal tumours
," Pediatric Blood and Cancer, vol.
Other mediastinal tumours
that occur in children are lymphomas, leukaemic deposits and neuroblastoma with its pathological variants.