Abstract
Our experience of using mediastinoscopy for the diagnosis of enlarged mediastinal lymph nodes or mediastinal mass is presented in this study. We reviewed 54 consecutive patients (34 men and 20 women) with mediastinal pathology of varied etiologies who underwent a standard cervical mediastinoscopy from January to December 2012. The histological results were positive in 32 cases (59.2 %), and negative in 22 cases (40.8 %). Transient laryngeal recurrent nerve palsy manifested as prolonged hoarseness of voice was the only minor complication in 3 cases (5.5 %). The sensitivity of the procedure was 72 %, and the specificity was 100 %. We recommend the use of a mediastinoscopy in the staging of lung cancer and the diagnosis of mediastinal mass when other non-invasive procedures are ineffective.
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Annema JT, Rabe KF (2006) State of the art lecture: EUS and EBUS in pulmonary medicine. Endoscopy 38:118–122
Annema JT, Meerbeeck JP, Rintoul RC, Dooms C, Deschepper E, Dekkers OM, De Leyn P, Braun J, Carroll NR, Praet M, de Ryck F, Vasteenkiste J, Versteegh MI, Veselic M, Nicholson AG, Rabe KF, Tournoy KG (2010) Mediastinoscopy vs endosonography for mediastinal nodal staging of lung cancer. JAMA 20:2245–2252
Carlens E (1959) Mediastinoscopy: a method for inspection and tissue biopsy in the superior mediastinum. Dis Chest 36:343–352
Chauchan A, Kapoor S, Ganguly M, Nath P (2012) Cervical mediastinoscopy: re-evaluation of an old technique in era of new imaging technology. Indian J Chest Dis Allied Sci 54:169–173
Dunning J, Walker WS (2012) Troublesome bleeding at mediastinoscopy. Ann Cardiothorac Surg 1:111–112
Elsayed H (2012) Haemothorax after mediastinoscopy: a word of caution. Eur J Cardiothorac Surg 41:138–139
Fibla JJ, Molins L, Simon C, Perez J, Vidal G (2006) The yield of mediastinoscopy with respect to lymph node size, cell type and the location of the primary tumor. J Thorac Oncol 1:430–433
Hammoud ZT, Anderson RC, Meyers BF, Guthrie TJ, Roper CL, Cooper JD, Patterson GA (1999) The current role of mediastinoscopy in the evaluation of thoracic disease. J Thorac Cardiovasc Surg 118:894–899
Iskender I, Tezel C, Kadioglu SZ, Kir A (2011) The role of standard and extended cervical mediastinoscopy in the staging of non-small cell lung cancer patients. Turk J Thorac Cardiovasc Surg 3:405–409
Leschber G, Sperling D, Klemm W, Merk J (2008) Does video-mediastinoscopy improve the results of conventional mediastinoscopy? Eur J Cardiothorac Surg 33:289–293
McManus TE, Haydock DA, Alison PM, Kolbe J (2008) Isolated mediastinal adenopathy: the case for mediastinoscopy. Ulster Med J 77:97–101
Minowa M, Chida M, Eba S, Matsumura Y (2011) Pulmonary artery injury during mediastinoscopy controlled without gauze packing. J Cardiothorac Surg 6:15. doi:10.1186/1749-8090-6-15
Naruke T (1993) Significance of lymph node metastasis in lung cancer. Semin Thorac Cardiovasc Surg 5:210–218
Naruke T, Suemasu K, Ishikawa S (1978) Lymph node mapping and curability of various levels of metastases in resected lung cancer. J Thorac Cardiovasc Surg 76:832–839
Vansteenkiste JF, Stroobants SG, De Leyn PR, Dupont PJ, Bogaert J, Deneffe GJ, Nackaerts KL, Verschakelen JA, Lerut TE, Mortelmans LA, Demedts MG (1998) Lymph node staging in non-small-cell lung cancer with FDG-PET scan: a prospective study on 690 lymph node stations from 68 patients. J Clin Oncol 16:2142–2149
Walles T, Fiedel G, Stegherr T, Steger V (2013) Learning mediastinoscopy: the need for education, experience and modern techniques – interdependency of the applied technique and surgeon’s training level. Interact Cardiovasc Thorac Surg 16:450–454
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Chabowski, M., Szymanska-Chabowska, A., Skotarczak, J., Janczak, D., Pawlowski, L., Janczak, D. (2014). The Role of Mediastinoscopy in the Diagnosis of Thoracic Disease: One-Year Single Center Experience. In: Pokorski, M. (eds) Respiratory Carcinogenesis. Advances in Experimental Medicine and Biology(), vol 852. Springer, Cham. https://doi.org/10.1007/5584_2014_101
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DOI: https://doi.org/10.1007/5584_2014_101
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