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1 Faculty of Medicine, The University of Jordan.
2 Thoracic Surgery Department, Mater Misericordiae University Hospital, Dublin.
3 Jordan University Hospital.
* Correspondence should be addressed to:
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Mediastinal Masses: Jordan University Hospital
(10 Year Experience)
Moaath Alsmady
1
, Mohammad Aladaileh
2
, Ibraheem obaidat
3
,
Abdullah Nassar
3
, Mohammad Al Qaisi
3
Abstract
Background: Mediastinal masses is one of the common diseases faced in thoracic surgical practice,
patterns of histopathological distribution of these masses are similar in many reports in the literature,
with verities of differences in patients and tumors characteristics.
AIM: To describe the most common clinical presentations and histological diagnosis of our patients
that are treated by surgery, and to report the experience in our center in treating such patients with
surgery.
Methods: By reviewing medical records of all patients diagnosed with mediastinal masses at Jordan
University hospital over a period of 10 years; from 2005 to 2015. Data about Patients’ demographic
characteristics, preoperative and postoperative diagnosis and perioperative course were collected and
analyzed.
Results: Over a period of 10 years; 100 patients treated with surgery for mediastinal masses at the
thoracic surgery division of Jordan University Hospital. 50 % of patients had postoperative diagnosis
of masses with thymic gland in origin and another 50 % diagnosed with other masses that were not
thymic in origin. Thymic masses tend to occur in younger patients with an average age of 36 years
compared with the non-thymic masses which were found in older patients with an average age of 42
years (p value of 0.04). Benign masses (75% of patients) were more common in the diagnosis
compared with malignant ones (25 % of patients). No perioperative mortality was reported in our
patients, with morbidity of 12%. Post-operative bleeding, pleural effusion and Deep Vein
Thrombosis (DVT) being of the most common morbidity.
Keywords: Mass, Jordan, Mediastinal Masses
(J Med J 2020; Vol. 54 (1):37-46)
Received Accepted
April 8, 2019 Oct. 3, 2019
Introduction
The Mediastinum is the space located in the
central part of the thorax and is surrounded by
the two pleurae cavities at each side. The
thoracic inlet forms the upper border and the
diaphragm represents the lower border
1
. The
mediastinum consists of three compartments;
the anterior, middle and posterior