Mediastinal Masses STEP UP

Question 1

Ix?

Answer 1

Ct chest best

Often incidental finding on xray chest

Question 2

Clinical features?

Answer 2

Usually asymptomatic

Symptoms occur when surrounding structures are compressed :

1. Cough
2. Sob
3. Hemoptysis
4. Dysphagea
5. SVCS
6. Phrenic nerve palsy
7. Rec laryngeal nerve palsy
8. Horner
9. Post obstructive pneumonia

Question 3

Causes acc to location?

Answer 3

Ant. 4 ts. Thymoma, teratogenic tumour, terrible lymphoma, thyroid

Mid. Aneurysm, lung cancer met, cysts, morgagni hernia, lymphoma

Post. Neurogenic tumour, esophageal mass, enteric cyst, aneurysm, bochdalek hernia