title: Surgery of benign neurogenic tumors in adults: single institution experience.
abstract: The objective of this work is to review retrospectively our experience with 17 patients presenting with benign neurogenic tumors, managed in the department of thoracic surgery, Mohamed V Military Academic Hospital, Rabat, Morocco. Between 2003 and 2011, seventeen patients were surgically treated for benign neurogenic tumors of the mediastinum, among 112 mediastinal tumors operated during the same period. The mean age of the 17 patients was 46 years, including 11 females and 6 males. The information about clinical presentation, diagnostic procedures, surgical techniques and postoperative follow-up were extracted and analyzed from medical records. Symptoms related to the tumor were found in 13 patients (76,4%). The posterior mediastinum was the principal location (16 cases: 94%). Intraspinal extension was shown through MRI in one case. Surgical extirpation was complete in all patients. There were no tumor-related deaths and no significant complications. There were 13 schwannomas, 2 neurofibromas and 2 ganglioneuromas. Neurogenic tumors of the mediastinum in adults are mostly benign. Their only treatment is surgical extirpation. Video-assisted thoracoscopic resection is currently the best approach in selected patients.
authors: Department of Visceral Surgery, Mohamed V Military Academic Hospital, Rabat, Morocco.
authors: Moulay Brahim
authors: MB
authors: Ratbi
authors: Department of Thoracic Surgery, Mohamed V Military Academic Hospital, Rabat, Morocco.
authors: Fayçal
authors: F
authors: El Oueriachi
authors: Department of Thoracic Surgery, Mohamed V Military Academic Hospital, Rabat, Morocco.
authors: Adil
authors: A
authors: Arsalane
authors: Department of Thoracic Surgery, Mohamed V Military Academic Hospital, Rabat, Morocco.
authors: Mohamed Massine
authors: MM
authors: El Hammoumi
authors: Department of Thoracic Surgery, Mohamed V Military Academic Hospital, Rabat, Morocco.
authors: El Hassane
authors: el H
authors: Kabiri
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D005729:Ganglioneuroma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008479:Mediastinal Neoplasms / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009018:Morocco; D009442:Neurilemmoma / Q000473:pathology / Q000601:surgery*; D009455:Neurofibroma / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods
keywords: Benign neurogenic tumor; adult; mediastinum; surgery