Surgical Treatment in Intrathoracic Tumors in Children

Authors

  • Cherdchai Tontisirin Cardiovascular and Thoracic Unit, Department of Surgery, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen 40002, Thailand.
  • Piya Samankctiwat Cardiovascular and Thoracic Unit, Department of Surgery, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen 40002, Thailand.
  • Sompop Prathanee Cardiovascular and Thoracic Unit, Department of Surgery, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen 40002, Thailand.
  • Chusak Kuptanond Cardiovascular and Thoracic Unit, Department of Surgery, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen 40002, Thailand.
  • Nopadol Tongsopit Cardiovascular and Thoracic Unit, Department of Surgery, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen 40002, Thailand.

Keywords:

Mediastinal Tumor, Intrathoracic Tumor

Abstract

                Intrathoracic tumors in children are uncommon surgical conditions. The tumor usually confines in mediastinum and the most common mediastinal tumor pathological finding is neurogenic in origin.

                From July 1982 to March 1993, 702 cases underwent thoracic operations of the lungs, pleura and mediastinum (excluding cardiac and esophageal operations) in the Cardiovascular and Thoracic Surgical Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University. There were 24 cases (3.4% of all thoracic operations) under the age of 15 years who were diagnosed as having intrathoracic tumor but only the records 18 patients were available for review. Of these 18 cases, there were 11 males and 7 females and their ages were between one month and 14 years. Most common presenting symptom was dyspnea. Investigations for diagnosis were chest x-ray and CT scan. Operations were median sternotomy with tumor removal 9 cases, thoracotomy with lung resection 5 cases, and mediastinotomy with biopsy 5 cases. Pathological diagnoses were teratoma 7, lymphoma 3, neurogenic tumor 2, lung cyst 2, thymoma 1, retrosternal thyroid 5, lung bleb I and embryonic cell tumor 1, There was no mortality from surgery among these patients.

References

1. King RM, Telander RL, Smithson Wa, Banks PM, Mao-Tang Han. Primary mediastinal tumors in children. J Pediatr Surg 1982;17(5): 512-520.

2. Ravitch MM, Welsh KJ, Benson Co. Mediastinal infections and tumors in Pediatric Surgery. Chicago: Year Book Medical Publisher, 1979;409-428.

3. Elder JS, Touloukian RJ. Surgical Diagnosis of Mediastinal Lymphoma of Childhood. Arch Surg 1979; 114:54-58.

4. Bradley M, Richardson JD. Primary Anterior Mediastinal Tumors in Children and Adults. Ann Thorac Surg 1986; 42: 338-345.

5. King TC, Smith CR. Chestwall, Pleura, Lung, and Mediastinum in Principles of Surgery. New York: McGraw-Hill, 627-770,1988; 627-770.

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Published

1998-03-31

How to Cite

1.
Tontisirin C, Samankctiwat P, Prathanee S, Kuptanond C, Tongsopit N. Surgical Treatment in Intrathoracic Tumors in Children. Thai J Surg [Internet]. 1998 Mar. 31 [cited 2024 Jul. 18];19(1):31-4. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250007

Issue

Vol. 19 No. 1 (1998): January - March

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.