Surgery: Recommendations for Surgeons

  • Mario Santini
  • Alfonso FiorelliEmail author
Part of the Current Clinical Pathology book series (CCPATH)


Differential diagnosis and treatment of mediastinal mass is challenging. Several strategies are available to obtain a diagnostic tissue and to resect the mass. For mass with well-marked margins and without signs of invasiveness (i.e., neurinoma, cystic lesion, mature teratoma), complete resection is indicated, being diagnostic and therapeutic. The surgical strategy (minimally invasive or open surgery) depends on the characteristics of the mass, its location, and surgeon’s experience. For mass with invasiveness of adjacent structures, a preoperative diagnosis obtained with transcutaneous biopsy, endoscopy, mediastinotomy, mediastinoscopy, or thoracoscopy according to the location of the mass is mandatory before proceeding with surgery.


Mediastinum Mediastinotomy Mediastinoscopy Mediastinal tumor Sternotomy 



The authors thank Mario Polverino, MD, and Carlo Santoriello, MD, of Pneumology Unit of Scafati Hospital, Scafati, Italy, for providing Figs. 5.3, 5.4, and 5.5.


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Thoracic Surgery Unit, Department of Translational Medical ScienceUniversità degli Studi della Campania ‘Luigi Vanvitelli’NaplesItaly

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