Tabatabai SA1, Hashemi SM2, Ahmadinejad M3 1. Associate Professor, Department of Thoracic Surgery, Esfahan University of Medical Sciences, Al –Zahra Hospital 2. Assistant Professor, Department of Thoracic surgery, Esfahan University of Medical Sciences, Al –Zahra Hospital 3. Assistant Professor, Lorestan University of Medical Sciences, and Resident of Thoracic Surgery, Esfahan University of Me...

Mediastinal masses are commonly encountered and have multiple differentials. Although histopathological examination is gold standard, the location of the mass narrows the diagnosis. While thyroid, thymus, germ cell tumour or lymph node related masses are common in superior mediastinum, vascular or pleuro-pericardial masses are seen in middle mediastinum. Posterior mediastinal masses are commonl...

Pneumomediastinum, the presence of free air in the mediastinum, is described as spontaneous pneumomediastinum when there is no apparent cause such as trauma, surgery, interventional procedures, or intrathoracic infections. Pneumorrhachis is a rare clinical condition, consisting of intraspinal air. The main causes are iatrogenic, traumatic, and nontraumatic. Spontaneous mediastinum is usually as...

Mediastinal lesions occur in a wide variety of clinical conditions. Metastatic granulosa cell tumour (GCT) in the mediastinum is a rare occurrence. We report a case of a woman who had a metastatic (GCT) in her mediastinum 40 years after treatment of the initial neoplasm. Surgical resection of the mediastinal mass revealed a low-grade epithelioid neoplasm with coffee bean-shaped nuclei and immun...

We report a case of a male child with a cystic mass in his left side of the neck with extension to the mediastinum. This article highlights the clinical and para-clinical findings and management of these cases. In conclusion, it is necessary to evaluate the mediastinum for extension of the cyst in cases with cystic hygromas of the neck. Surgical resection of the tumor through a cervical incisio...

Seminiferous tubular ectasia at the level of the mediastinum testis is a recently recognized rare benign condition. It is often bilateral, and usually occurs in elderly men. It is commonly associated with epididymal abnormalities (e.g. spermatocele, epididymal cysts or epididymitis), and it shares a common location (within the mediastinum testis) with cystic dysplasia of the testis and testicul...

We report 3 cases of patients with bronchogenic cyst arising in the posterior mediastinum. The patients were a 19-year-old male, a 36-year-old female and a 33-year-old female, whose cysts were detected as abnormal shadows in the chest. In 2 of them, neurogenic tumors were suspected preoperatively. We performed thoracoscopic resection for the 3 tumors. Bronchogenic cysts may occur ectopically, a...

The patient was 35-year-old women with a six-month history of difficulty breathing and chest pain. An anterior-posterior chest radiograph revealed a widened mediastinum with small lung volumes. During his diagnostic evaluation, a computed tomographic scan was performed and with huge mass in the anterior mediastinum with extension to the left and right side of pleural space. With postero-lateral...

Extraskeletal chondrosarcoma in anterior mediastinum is very rare. A 45-year-old male patient was admitted to the hospital with precordial chest pain. A large and well-shaped mass in the anterior mediastinum was seen radiologically, and there was a clearly compression of the heart by the mass. The lesion was totally resected, and extraskeletal mediastinal chondrosarcoma was histopathologically ...

Bronchogenic cysts are rare congenital malformation that need surgical removal. To date, bronchogenic cysts located in highest upper mediastinum excised by thoracoscopy have not been reported, though complete thoracoscopic extirpation of a bronchogenic cyst has been reported before. We excised two highest upper bronchogenic cysts by thoracoscopy successfully without any postoperative complicati...