Anterior Mediastinal Diseases
Dr. Hasan TÜRÜT, Dr. Kerim TÜLÜCE, Dr. Gökçen SEVİLGEN

Abstract 10.5152/gghs.2020.037

In terms of shedding light on the managerial strategy of mediastinal lesions, it is possible to define the location of the lesion clearly and to establish neighborhood relations with other anatomical structures in the mediastinum only with multislice computed tomography (CT) or magnetic resonance imaging (MRI) tests. The lesions seen in the mediastinum have a wide histopathological spectrum. Approximately half of all mediastinal lesions are localized in the anterior mediastinum. In the management of anterior mediastinal lesions, demographic, morphological and radiological data constitute the most important stage especially in diagnosis, differential diagnosis and subsequent determination of the road map. This triple correlation is usually sufficient to determine the next stage of the patient. When a mediastinal lesion is diagnosed by imaging methods, determining the malignancy risk of the existing lesion is the most important determining factor for the steps to be followed. Almost enough data can be obtained about the location and morphological features of a mediastinal pathology using multislice CT. If there is still a doubt in terms the correlation between the data obtained on detailed clinical evaluation and imaging, the MRI and PET/CT and additional biopsy sampling (using imaging guidance or surgical techniques) should be the methods to clarify the diagnosis. However, since some lesions can display unique clinical and radiological symptoms and signs, biopsy procedures are not required in all.

Keywords: Anterior mediastinum, thymus, mediastinal lymphoma, mediastinal germ celll tumor.
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