Diagnosis of anterior mediastinal mass lesions using the Chamberlain procedure in children.
In: Pediatric Surgery International, Jg. 24 (2008-08-01), Heft 8, S. 935-937
Online
academicJournal
Zugriff:
The mediastinum is the most common site for primary intra-thoracic pathology in childhood. This paper describes the versatility of the Chamberlain operation in establishing tissue diagnosis and guiding definitive treatment in children with mediastinal mass lesions. During 1999-2006, 28 consecutive patients were referred to a National Oncology Center with anterior mediastinal pathology. Eleven underwent the Chamberlain procedure. Demographic data, diagnostic sensitivity, operating time and morbidity were recorded. All patients had preoperative chest X-ray and computed tomography scans. The Chamberlain operation was deployed in only those children without other ways of accurately establishing their diagnosis. Others with mediastinal pathology had a diagnosis established by lymph node biopsy, thoracentesis or other method(s). Eleven patients (nine male, two female; age range 2-13 years) underwent the Chamberlain procedure. In these children, there was no pre-existent diagnosis and this was the primary procedure employed. Diagnostic accuracy was 100%. Three patients had pleural disruption and chest tubes were placed at the time of surgery. No patient required a thoracotomy. Average operating time was 1.3 h. Five patients were diagnosed with Hodgkin's lymphoma, four had non-Hodgkin's lymphoma and two children thymic hyperplasia. The Chamberlain operation provides excellent access to the antero-superior mediastinum for biopsy of obscure mediastinal mass lesions in childhood. Complications from this procedure are very rare. [ABSTRACT FROM AUTHOR]
Titel: |
Diagnosis of anterior mediastinal mass lesions using the Chamberlain procedure in children.
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Autor/in / Beteiligte Person: | Valverde, Sonia Salas ; Gamboa, Yessica ; Vega, Sergio ; Barrantes, Max ; Gonzalez, Mario ; Zamora, Jose Barrantes ; Salas Valverde, Sonia |
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Zeitschrift: | Pediatric Surgery International, Jg. 24 (2008-08-01), Heft 8, S. 935-937 |
Veröffentlichung: | 2008 |
Medientyp: | academicJournal |
ISSN: | 0179-0358 (print) |
DOI: | 10.1007/s00383-008-2179-8 |
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