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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background and objective</span><p class="elsevierStyleSimplePara elsevierViewall">The mediastinal cysts form a group of heterogeneous and uncommon benign lesions of neoplastic&#44; congenital&#44; or inflammatory conditions&#46; The forgoing controversy is how to manage them&#59; surgical removal or observation&#46; We reviewed our experience including some rare conditions&#44; emphasizing the clinical spectrum and surgical treatment&#46;</p> <span class="elsevierStyleSectionTitle">Patientes and methods</span><p class="elsevierStyleSimplePara elsevierViewall">This is a retrospective review between 2000 and 2007 included 34 cases of primary mediastinal cystic lesions&#46; Clinical features&#44; imaging techniques&#44; surgical operation&#44; morbidity&#44; mortality and follow-up were analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">There were 18 females &#40;53&#37;&#41; and 16 males &#40;47&#37;&#41;&#44; with a mean age<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation of 45&#46;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14&#46;1 years &#40;range&#58; 22-74&#41;&#46; Most of cysts were congenital &#40;94&#37;&#41;&#44; except patients with hydatid disease &#40;6&#37;&#41;&#46; 24&#37; of cysts &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; were detected in anterior mediastinum&#46; Rest of them &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>26&#41; were located in visceral mediastinum&#46; Patients usually were symptomatic &#40;61&#37;&#41;&#46; Chest pain and discomfort was most common symptom&#44; others were dyspnea&#44; cough and hemoptysis&#44; respectively&#46; Cysts excision was performed in all cases with an uneventful recovery and with no recurrence in long term follow up&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Asymptomatic mediastinal cysts are not rare&#46; Surgery is a reliable method of treatment of mediastinal cysts with acceptable mortality and morbidity&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">Los quistes mediast&#237;nicos forman un grupo de lesiones benignas heterog&#233;neas y poco comunes de naturaleza neopl&#225;sica&#44; cong&#233;nita e inflamatoria&#46; Contin&#250;a la controversia sobre c&#243;mo tratarlos&#44; ya sea mediante extracci&#243;n quir&#250;rgica u observaci&#243;n&#46; Examinamos nuestra experiencia en este campo&#44; que incluye algunas situaciones infrecuentes&#44; haciendo hincapi&#233; en el espectro cl&#237;nico y el tratamiento quir&#250;rgico&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio retrospectivo de 34 pacientes atendidos entre 2000 y 2007 por lesiones qu&#237;sticas primarias del mediastino&#46; Se analizaron las caracter&#237;sticas cl&#237;nicas&#44; las t&#233;cnicas de imagen empleadas&#44; el tipo de cirug&#237;a&#44; la morbilidad&#44; la mortalidad y el seguimiento&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El grupo estuvo constituido por 18 mujeres &#40;53&#37;&#41; y 16 varones &#40;47&#37;&#41;&#44; con una media de edad &#40;&#177;<span class="elsevierStyleHsp" style=""></span>desviaci&#243;n est&#225;ndar&#41; de 45&#44;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14&#44;1 a&#241;os &#40;rango&#58; 22-74&#41;&#46; La mayor&#237;a de los quistes eran cong&#233;nitos &#40;94&#37;&#41;&#44; excepto en los pacientes con enfermedad hidat&#237;dica &#40;6&#37;&#41;&#46; El 24&#37; de los quistes &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; se detect&#243; en el mediastino anterior y el resto &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>26&#41; se localiz&#243; en el mediastino visceral&#46; La mayor&#237;a de los pacientes &#40;61&#37;&#41; presentaba s&#237;ntomas&#46; El dolor y el malestar tor&#225;cicos fueron los s&#237;ntomas m&#225;s frecuentes&#44; seguidos de la disnea&#44; la tos y la hemoptisis&#46; En todos los casos se procedi&#243; a la escisi&#243;n del quiste&#44; con la recuperaci&#243;n sin incidentes de los pacientes y sin recurrencias en el seguimiento a largo plazo&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los quistes mediast&#237;nicos asintom&#225;ticos no son infrecuentes&#46; La cirug&#237;a es un tratamiento seguro para los quistes mediast&#237;nicos&#44; con una mortalidad y morbilidad aceptables&#46;</p>"
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Original article
Benign Primary Cystic Lesions of Mediastinum in Adult: The Clinical Spectrum and Surgical Treatment
Lesiones quísticas primarias y benignas del mediastino en el adulto: espectro clínico y tratamiento quirúrgico
Soner Gürsoya,
Corresponding author
grssoner@gmail.com

Corresponding author.
, Ata Ozturka, Ahmet Ucveta, Ahmet Emin Erbaycub
a Department of Thoracic Surgery, Suat Seren Chest Disease and Thoracic Surgery Training Hospital, Izmir, Turkey
b Department of Chest Diseases, Suat Seren Chest Disease and Thoracic Surgery Training Hospital, Izmir, Turkey
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background and objective</span><p class="elsevierStyleSimplePara elsevierViewall">The mediastinal cysts form a group of heterogeneous and uncommon benign lesions of neoplastic&#44; congenital&#44; or inflammatory conditions&#46; The forgoing controversy is how to manage them&#59; surgical removal or observation&#46; We reviewed our experience including some rare conditions&#44; emphasizing the clinical spectrum and surgical treatment&#46;</p> <span class="elsevierStyleSectionTitle">Patientes and methods</span><p class="elsevierStyleSimplePara elsevierViewall">This is a retrospective review between 2000 and 2007 included 34 cases of primary mediastinal cystic lesions&#46; Clinical features&#44; imaging techniques&#44; surgical operation&#44; morbidity&#44; mortality and follow-up were analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">There were 18 females &#40;53&#37;&#41; and 16 males &#40;47&#37;&#41;&#44; with a mean age<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation of 45&#46;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>14&#46;1 years &#40;range&#58; 22-74&#41;&#46; Most of cysts were congenital &#40;94&#37;&#41;&#44; except patients with hydatid disease &#40;6&#37;&#41;&#46; 24&#37; of cysts &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; were detected in anterior mediastinum&#46; Rest of them &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>26&#41; were located in visceral mediastinum&#46; Patients usually were symptomatic &#40;61&#37;&#41;&#46; Chest pain and discomfort was most common symptom&#44; others were dyspnea&#44; cough and hemoptysis&#44; respectively&#46; Cysts excision was performed in all cases with an uneventful recovery and with no recurrence in long term follow up&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Asymptomatic mediastinal cysts are not rare&#46; Surgery is a reliable method of treatment of mediastinal cysts with acceptable mortality and morbidity&#46;</p>"
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ISSN: 15792129
Original language: English
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