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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/1913

 
Title :[原著]当院における縦隔嚢腫手術症例の検討
Title alternative :A review of the cases operated on for mediastinal cysts at our hospital
Authors :我部, 敦
輿那嶺, 尚男
照屋, 孝夫
花城, 直次
河崎, 英範
川畑, 勉
大田, 守雄
国吉, 真行
石川, 清司
大城, 康二
Authors alternative :Gabe, Atsushi
Yonamine, Takao
Teruya, Takao
Hanashiro, Naoji
Kawasaki, Hidenori
Kawabata, Tsutomu
Ohta, Morio
Kuniyoshi, Masayuki
Ishikawa, Kiyoshi
Ohshiro, Yasuji
Authors affiliation :国立病院機構沖縄病院外科
国立病院機構沖縄病院放射線科
Issue Date :2007
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346-888X
0289-1530
Abstract :In order to establish the therapeutic guidelines for mediastinal cysts, especially for bronchogenic cysts, pericardial cysts and thymic cysts, a series of patients operated on at the NHO Okinawa National Hospital from June 1979 to December 2005 retrospectivly evaluated. A total of 277 patients were surgically treated for the primary mediastinal tumors, including 98 mediastinal cysts. In addition, 43 patients had bronchogenic cysts. The common sites of the cysts were the same as those described according Maier s classification in almost all cases. Bronchogenic cysts with adhesion to the neighboring accounted for 54.5 % of all cysts. One patient experienced post-operative empyema, while one patient had a recurrence after the operation, and another cyst was identified to demonstrate adenocarcinoma inside. Thirty patients had pericardial cysts. The sites of the cysts were the cepharad recess of the azygos vein (CRAzV) and the right cardiophrenic angle in almost all such cases. None of the pericardial cysts demonstrated either complication or recurrence. Twenty-one patients had thymic cysts. The sites of these cysts were the anterior mediastinum in all cases. In addition, none of the thymic cysts were associated with myasthcmia gravis and no recurrence was observed. It is important to pay careful attention to the location of mediastinal masses since it may help in accurately differentiating these diseases. Both computed tomography (CT) and magnetic resonance imaging (MRI) were helpful in determining the precise localization and characterization of the mediastinal mass, especially MRI was useful in the preoperative differential diagnosis. Video-assisted thoracic surgery (VATS) was found to be a safe and effective surgical modality for the treatment of mediastinal cysts. The etiology, roentogenographic features, diagnosis and treatment of mediastinal cysts are all herein discussed.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/1913
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.26 no.1・2 p.31 -37
Appears in Collections:Ryukyu Medical Journal

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