OBJECTIVES In patients with early-stage non-small cell lung cancer, surgery offers the best chance of cure when a complete resection, including mediastinal lymph node dissection, is performed. A definition for complete resection and guidelines for intra-operative lymph node staging have been published, but it is unclear whether these guidelines are followed in daily practice. The goal of this s...

there has been a highly significant increase in the number of patients with malignant mediastinal tumors in the last four decades. since these lesions are infrequently encountered and there are very few reports in iran concerning this issue, we performed this study to review our institutional experience of medias-tinal masses and to compare differences in the clinical spectrum between our study...

Introduction Mediastinal masses can compress the major airways, so these patients should be carefully evaluated before subjecting them to anaesthesia.1 However, even large mediastinal masses can present without any clinical symptoms of airway compression.2 These large mediastinal tumours with apparently normal airways preoperatively may develop an obstructed airway after induction of general an...

OBJECTIVES The standard surgical treatment for patients with non-small-cell lung cancer (NSCLC) is lobectomy with systematic nodal dissection (SND). Lobe-specific patterns of nodal metastases have been recognized, and lobe-specific SND (L-SND) has been reported. We performed L-SND depending on patient-related factors, such as age or the presence of diabetes or respiratory dysfunction, or in the...

Significant heterogenity of stage IB (sixth edition of the TNM staging system) nonsmall cell lung cancer (NSCLC) has been identified, and further subclassification according to tumour size has been proposed. The aim of this study is to evaluate the prognostic factors in patients with resected stage IB NSCLC > 3 cm. From January 1980 to December 2000, 525 patients underwent surgical resection fo...

Abstract Background The aim of this study was to evaluate sensitivity and specificity of mediastinal sonography, and compared with CT, in detection of anterior mediastinal neoplasms. Materials and Methods The sonography with convex probes (5.0 and 7.5 MHz) was done prospectively for 34 patients (from 2 to 25 years old) with mediastinal mass. The results were compared with the results of ...

detected a tumour obstructing the apical segmental bronchus of the left lower lobe. The tumour was biopsied and identified as undifferentiated large cell carcinoma. The patient was referred to the regional hospital for scheduling of endobronchial ultrasound with real-time transbronchial needle aspiration (EBUS-rt-TBNA) for staging. The following week, the patient suffered a brief syncopal episo...

Abstract Background Thymic epithelial tumours (TET) are rare thoracic cancers with reported annual incidence of 1.3–3.2 per million. TETs histologically classified as thymomas or thymic carcinomas. Thymomas slow-growing that comprise the majority lesions found in anterior mediastinum. They can be associated autoimmune disorders such Myasthenia Gravis. Contrast CT is standard for diagnosis. Surg...