Cervical mediastinoscopy for paratracheal masses in pediatric patients.
A cytological diagnosis is essential for a definitive diagnosis in children who have paratracheal lesions. Thirteen pediatric patients were biopsied using cervical mediastinoscopy. Age, gender, preoperative diagnosis, and postoperative biopsy results and complications were reviewed. Five patients had mediastinal lesions residuing or recurring after chemotherapy for either Hodgkin disease or non-Hodgkin lymphoma. In 2 of these patients, the diagnosis was recurrent disease. Among the 8 patients presenting with a paratracheal mass or enlarged lymph nodes, histopathologic diagnosis showed tuberculosis in 3 children, Hodgkin disease in 2 children, and histiocytosis X and non-Hodgkin lymphoma 1 patient in each. This study shows that cervical mediastinoscopy gave 100% correct diagnosis for mediastinal residual malignancies or uncommon forms of mycobacterium tuberculosis with paratracheal masses.
Department of Pediatric Surgery, Istanbul University, Istanbul Medical School, Instanbul, Turkey.
Feryal
F
Gun
Alper
A
Toker
Serkan
S
Kaya
Serhan
S
Tanju
Sukru
S
Dilege
Alaettin
A
Celik
Tansu
T
Salman
Dilek
D
Yilmazbayhan
D000293:Adolescent; D001706:Biopsy; D002648:Child; D002675:Child, Preschool; D005260:Female; D006646:Histiocytosis, Langerhans-Cell; D006801:Humans; D008223:Lymphoma / Q000150:complications / Q000188:drug therapy; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications / Q000175:diagnosis*; D008481:Mediastinoscopy / Q000592:standards*; D016609:Neoplasms, Second Primary / Q000175:diagnosis; D012189:Retrospective Studies; D014376:Tuberculosis