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Läsionen des paravertebralen Mediastinums

Lesions of the paravertebral mediastinum

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Zusammenfassung

Hintergrund

Läsionen des paravertebralen Mediastinums sind selten, und die Kenntnis möglicher Differenzialdiagnosen ist für den klinischen Alltag unerlässlich.

Zielstellung/Methode

Übersicht häufiger Läsionen des paravertebralen Mediastinums.

Ergebnis

Dem paravertebralen Mediastinum werden vor allem Fettgewebe und neurogene Strukturen zugeordnet. Goldstandard der radiologischen Diagnostik stellen die Computertomographie (CT) und Magnetresonanztomographie (MRT) dar. Neurogene Tumoren sind die häufigsten Läsionen des paravertebralen Mediastinums. Weitere Pathologien umfassen die extramedulläre Hämatopoese, lipomatöse, lymphogene, inflammatorische und zystische Läsionen. Zwerchfellhernien, Gefäß- und Ösophaguspathologien können ebenfalls das paravertebrale Mediastinum einbeziehen.

Abstract

Background

Lesions of the paravertebral mediastinum are rare, and knowledge of possible differential diagnoses is essential for clinical practice.

Objective/Methods

To review common lesions of the paravertebral mediastinum.

Results

The paravertebral mediastinum mainly includes fatty tissue and neurogenic structures. Imaging is commonly performed using computed tomography (CT) and magnetic resonance imaging (MRI). Neurogenic tumors are the most common lesions of the paravertebral mediastinum. Other pathologies include extramedullary hematopoiesis, lipomatous, lymphogenic, inflammatory, and cystic lesions. Moreover, also diaphragmatic hernias, vascular and esophageal pathologies may be found in the paravertebral mediastinum.

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Authors and Affiliations

  1. Institut und Poliklinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Carl-Gustav-Carus, TU Dresden, Dresden, Deutschland

    F. Schön & R. T. Hoffmann

  2. Institut und Poliklinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum Carl-Gustav-Carus, TU Dresden, Dresden, Deutschland

    D. P. O. Kaiser

Authors
  1. F. Schön
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  2. R. T. Hoffmann
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  3. D. P. O. Kaiser
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Correspondence to F. Schön.

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Interessenkonflikt

F. Schön, R.T. Hoffmann und D.P.O. Kaiser geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Schön, F., Hoffmann, R.T. & Kaiser, D.P.O. Läsionen des paravertebralen Mediastinums. Radiologie 63, 180–186 (2023). https://doi.org/10.1007/s00117-022-01109-0

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