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Mediastinal lesions, spectrum, and modalities of diagnosis: a retrospective multicenter-based experience

Egyptian Journal of Bronchology volume 13, pages 370–376 (2019)Cite this article

Abstract

Context

Diagnosis of mediastinal lesions start with clinical evaluation combined with specific /boratory investigation and different imaging modalities till biopsy that can obtained by percutaneous approach, endoscopic approach, or finally open approach.

Aims

A retrospective assessment of different mediastinal lesions was performed of the diagnosis and the different modalities of sampling used in three different Egyptian centers (Cairo, Mansoura, and Tanta universities) during the period 2017–2018.

Settings and design

This was a retrospective study.

Patients and methods

Study enrolled 92 patients with mediastinal lesions, collected from medical records of the three chest department during the period 2017–2018, were retrospectively analyzed. Data included clinical presentation, diagnostic methods, and diagnostic outcome.

Results

Mediastinal lymphadenopathies were the most common lesions. Endobronchial ultrasound was the sampling modality most used successfully (39.13%) to achieve the final diagnosis, followed by computed tomography-guided trucut biopsy (25%). The most frequent pathological finding was lymphomas, 34.78%, followed by adenocarcinomas, 26%.

Conclusion

Malignancy was the commonest diagnosis among cases enrolled in our study.

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Authors and Affiliations

  1. Department of Chest Medicine, Tanta University, Tanta, Egypt

    Mohamed S.Abdelrahman Hantera MD (Assistant Prof of Chest Medicine)

  2. Department of Chest Medicine, Cairo university, Cairo, Egypt

    Hamed A. H. Abdalla

  3. Department of Chest Medicine, Mansoura University, Mansoura, Egypt

    Mohammed A. Ibrahim

Authors
  1. Mohamed S.Abdelrahman Hantera MD
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  2. Hamed A. H. Abdalla
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  3. Mohammed A. Ibrahim
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Corresponding author

Correspondence to Mohamed S.Abdelrahman Hantera MD.

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Hantera, M.S., Abdalla, H.A.H. & Ibrahim, M.A. Mediastinal lesions, spectrum, and modalities of diagnosis: a retrospective multicenter-based experience. Egypt J Bronchol 13, 370–376 (2019). https://doi.org/10.4103/ejb.ejb_39_19

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  • DOI: https://doi.org/10.4103/ejb.ejb_39_19

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