RADYOLOJÝK MEDÝASTÝNAL KÝTLE TANILI ÝKÝ FARKLI OLGU SUNUMU

Mediastinal kitlelerde hem taný hem tedavi için cerrahi eksizyon gereklidir. Cerrahinin gerekliliði, vital yapýlara basý ve malign transformasyon potansiyeli riski nedeniyledir. Bronkojenik kist ve leiomyom çok iyi bilinen patolojik antitelerdir. Bronkojenik kist mediastinal ise kitle ekstirpasyonu, parankimal ise uygun anatomik rezeksiyon, leiomyomun da klasik tedavisi cerrahi enükleasyon, nadiren de özofagus rezeksiyonu gerekebilir. Radyolojik olarak mediastinal kitle tanýsý konan iki olguda, radyolojik, klinik ve cerrahi eksplorasyon sonuçlarý karþýlaþtýrýlmýþtýr. Operasyon öncesi taný netliði, cerraha yol göstericilik saðlar. Ýntraparankimal bronkojenik kist ve özofagus leiomyomu, mediastinal kitlelerle karýþabilecek sürpriz tanýsal farklýlýklardan sadece ikisidir. Farklý taný ve olasý komplikasyonlarý önleme açýsýndan, cerrahi eksplorasyonun ve yeterliliðin önemi vurgulanmýþtýr.

TWO DIFFERENT CASES WITH RADIOLOGIC MEDIASTINAL MASS

Mediastinal masses require surgical excision both for diagnosis and treatment. Potential risk of malignant transformation and compression to vital structures require surgery. Bronchogenic cysts and leiomyomas are well-known pathological entities. If the bronchogenic cyst is mediastinal, mass extirpation should be done or if it’s parenchymal appropriate anatomic resection should be performed. Even classical treatment of leiomyoma is surgical enucleation, rarely esophageal resection is needed. Radiologically was diagnosed as mediastinal mass in two cases, the radiological, clinical and surgical exploration results were compared. Preoperative diagnostic definite provides surgical guidance. Intraparenchymal bronchogenic cysts and esophageal leiomyomas are only two of the surprise diagnostic differences that mediastinal masses may encounter. In terms of different diagnosis and prevention of possible complications, emphasis was placed on the necessity of surgical exploration.