Mediastinal Masses

  • Richard D. Glick


Mediastinal masses are varied and present at all ages, from newborn to adolescence. There is a wide spectrum of pathology that may include congenital, inflammatory, infectious, and neoplastic processes. Because of the limited space and confined geometry of the region, masses can interfere with both the respiratory and cardiovascular systems, sometimes with grave results. Urgent consultations from oncologists and pediatric intensivists are common, and most of these patients will require some form of surgical intervention, such as biopsy, resection, or venous access. Applicable techniques range from minimally invasive procedures to large thoracotomy or sternotomy. Expertise with these procedures as well as a detailed knowledge of the anatomy and wide range of pathology of the region are essential. An in-depth understanding of the decision-making regarding pre-anesthetic work-up and management can help prevent potentially disastrous complications.


Germ Cell Tumor Mediastinal Mass Peak Expiratory Flow Rate Bronchogenic Cyst Anterior Mediastinum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. Glick RD, LaQuaglia MP. Lymphomas of the anterior mediastinum. Semin Pediatr Surg. 1999;8:69–77.PubMedGoogle Scholar
  2. Grosfeld JL, Skinner MA, Rescorla FJ, et al. Mediastinal tumors in children: experience with 196 cases. Ann Surg Oncol. 1994;1:121–7.CrossRefPubMedGoogle Scholar
  3. King RM, Telander RL, Smithson WA, et al. Primary mediastinal tumors in children. J Pediatr Surg. 1982;17:512–20.CrossRefPubMedGoogle Scholar
  4. Ricketts RR. Clinical management of anterior mediastinal tumors in children. Semin Pediatr Surg. 2001;10:161–8.CrossRefPubMedGoogle Scholar
  5. Shamberger RC. Preanesthetic evaluation of children with anterior mediastinal masses. Semin Pediatr Surg. 1999;8:61–8.PubMedGoogle Scholar
  6. Shields TW. The mediastinum and its compartments (Chapter 1). In: Shield TW, editor. Mediastinal surgery. Philadelphia, PA: Lea & Febiger; 1991. p. 3–5.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Pediatric SurgeryAlbert Einstein College of Medicine, Schneider Children’s HospitalNew Hyde ParkUSA

Personalised recommendations