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The Mediastinal Mass pp 43–64Cite as

Surgery: Recommendations for Surgeons

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Part of the book series: Current Clinical Pathology ((CCPATH))

Abstract

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.

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Acknowledgment

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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  1. Thoracic Surgery Unit, Department of Translational Medical Science, Università degli Studi della Campania ‘Luigi Vanvitelli’, Naples, Italy

    Mario Santini & Alfonso Fiorelli

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  1. Mario Santini
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  2. Alfonso Fiorelli
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Correspondence to Alfonso Fiorelli .

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  1. Pathology Unit, Department of Mental and Physic Health and Preventive Medicine, Università della Campania ‘Luigi Vanvitelli’, Naples, Italy

    Renato Franco

  2. Pathology Unit, Department of Mental and Physic Health and Preventive Medicine, Università della Campania ‘Luigi Vanvitelli’, Naples, Italy

    Federica Zito Marino

  3. Sbarro Institute for Cancer Research, Temple University Sbarro Institute for Cancer Research, Philadelphia, PA, USA

    Antonio Giordano

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Santini, M., Fiorelli, A. (2018). Surgery: Recommendations for Surgeons. In: Franco, R., Zito Marino, F., Giordano, A. (eds) The Mediastinal Mass. Current Clinical Pathology. Humana, Cham. https://doi.org/10.1007/978-3-319-90368-2_5

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