Sandbox:Trusha: Difference between revisions
Jump to navigation
Jump to search
Trushatank (talk | contribs) No edit summary |
Trushatank (talk | contribs) No edit summary |
||
Line 2: | Line 2: | ||
{{CMG}} {{AE}} {{Trusha}} | {{CMG}} {{AE}} {{Trusha}} | ||
==Overview== | |||
==Differential diagnosis of medistinal mass== | |||
{| | {| | ||
Line 484: | Line 463: | ||
|- | |- | ||
|} | |} | ||
# [[Superior vena cava obstruction]] | |||
# [[Partial anomalous pulmonary venous connection]] | |||
# [[Esophageal achalasia]] | |||
# [[Esophageal cancer]] | |||
# [[Esophageal rupture]] | |||
# [[Hiatus hernia]] | |||
# [[Hilar lymphadenopathy]] | |||
# [[Pneumomediastinum]] | |||
# [[Sarcoidosis]] | |||
# [[Lymphoma]] | |||
# [[Neurilemmoma]] | |||
# [[Non-Hodgkin lymphoma]] | |||
# [[Teratoma]] | |||
# [[Thymoma]] | |||
# [[Thyroid cancer]] | |||
# [[Goitre]] | |||
# [[Mediastinal germ cell tumor]], | |||
# [[Mediastinal tumor]], | |||
# [[Mediastinitis]] | |||
# [[Churg-Strauss syndrome]] | |||
# [[Bronchogenic cyst]], | |||
# [[Dermoid cyst]] | |||
# [[Anthrax]]: | |||
# [[Tularemia]] | |||
[[File: name|x300px|thumb| CT scan showing a smooth anterior mediastinal mass, with a mixed internal density of containing both enhancing soft tissue and cystic areas. The outline of the mass is relatively well defined. No lymphadenopathy, pleural effusion or infiltration. Case courtesy of Dr. Abdallah Al Khateeb | [[File: name|x300px|thumb| CT scan showing a smooth anterior mediastinal mass, with a mixed internal density of containing both enhancing soft tissue and cystic areas. The outline of the mass is relatively well defined. No lymphadenopathy, pleural effusion or infiltration. Case courtesy of Dr. Abdallah Al Khateeb |
Revision as of 17:14, 6 February 2019
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Trusha Tank, M.D.[3]
Overview
Differential diagnosis of medistinal mass
Class | Disease | Sign/Symptoms | MMS | Causes/Risk factors | Gold standard | Image | Additional findings |
---|---|---|---|---|---|---|---|
Anterior mediastinal mass | |||||||
Tumors | Thymoma |
|
|
Biopsy:
|
Associated condition
| ||
Fatty mass |
|
|
MRI:
|
Fatty mass can be:
| |||
Non-Hodgkin lymphoma |
|
(HIV, Hep C, HTLV-1, EBV, HHV-8, H. pylori, psittacosis, Campylobacter jejuni)
(pesticides, methotrexate, TNF inhibitors, trichloroethylene)
|
Excisional lymph node biopsy with immunohistochemical study
|
| |||
Teratoma | Benign
Malignant |
|
Chest CT scan:
|
N/A | |||
Thyroid disease | Thyroid cancer[1] |
|
|
US guided biopsy: | TFT
| ||
Goiter |
|
Radioactive iodine scan:
|
Hyperavtive gland (hyperthyroid):
Hypoactive gland (hypothyroid):
Normal functioning gland (euthyroid):
| ||||
Class | Disease | Sign/Symptoms | MMS | Causes/Risk factors | Gold standard | Image | Additional findings |
Middle mediastinal mass | |||||||
CVS disease | Pericardial effusion |
|
|
||||
Aortic dissection[1] | |||||||
Superior vena cava obstruction[1] | |||||||
Partial anomalous pulmonary venous connection[1] | |||||||
GI disease | Esophageal achalasia | ||||||
Esophageal cancer | |||||||
Esophageal rupture | |||||||
Hiatus hernia | |||||||
Pulmonary disease | Hilar lymphadenopathy | ||||||
Pneumomediastinum | |||||||
Sarcoidosis | |||||||
Mediastinal tumor | Mediastinal tumor | ||||||
Mediastinal germ cell tumor[1] | |||||||
Infection | Mediastinitis | ||||||
Anthrax | |||||||
Tularemia | |||||||
Cystic disease | Dermoid cyst | ||||||
Bronchogenic cyst[1] | |||||||
Chronic
inflammatory |
Churg-Strauss syndrome | ||||||
Class | Disease | Sign/Symptoms | MMS | Causes/Risk factors | Gold standard | Image | Additional findings |
Posterior mediastinal mass | |||||||
CNS disease | Meningocele[1] | ||||||
Neurilemmoma[1] |
- Superior vena cava obstruction
- Partial anomalous pulmonary venous connection
- Esophageal achalasia
- Esophageal cancer
- Esophageal rupture
- Hiatus hernia
- Hilar lymphadenopathy
- Pneumomediastinum
- Sarcoidosis
- Lymphoma
- Neurilemmoma
- Non-Hodgkin lymphoma
- Teratoma
- Thymoma
References
- ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L (February 2013). "A diagnostic approach to the mediastinal masses". Insights Imaging. 4 (1): 29–52. doi:10.1007/s13244-012-0201-0. PMID 23225215.
- ↑ Molinari F, Bankier AA, Eisenberg RL (November 2011). "Fat-containing lesions in adult thoracic imaging". AJR Am J Roentgenol. 197 (5): W795–813. doi:10.2214/AJR.11.6932. PMID 22021525.
- ↑ Sandlund JT (2015). "Non-Hodgkin Lymphoma in Children". Curr Hematol Malig Rep. 10 (3): 237–43. doi:10.1007/s11899-015-0277-y. PMID 26174528.
- ↑ Armitage JO, Gascoyne RD, Lunning MA, Cavalli F (2017). "Non-Hodgkin lymphoma". Lancet. 390 (10091): 298–310. doi:10.1016/S0140-6736(16)32407-2. PMID 28153383.
- ↑ Yalagachin GH (June 2013). "Anterior mediastinal teratoma- a case report with review of literature". Indian J Surg. 75 (Suppl 1): 182–4. doi:10.1007/s12262-012-0569-6. PMID 24426558.
- ↑ No TH, Seol SH, Seo GW, Kim DI, Yang SY, Jeong CH, Hwang YH, Kim JY (September 2015). "Benign Mature Teratoma in Anterior Mediastinum". J Clin Med Res. 7 (9): 726–8. doi:10.14740/jocmr2270w. PMC 4522994. PMID 26251691.
- ↑ "Benign thyroid enlargement (non-toxic multinodular goiter): Overview".
- ↑ Vanneman MW, Fikry K, Quraishi SA, Schoenfeld W (August 2015). "A Young Man with a Mediastinal Mass and Sudden Cardiac Arrest". Ann Am Thorac Soc. 12 (8): 1235–9. doi:10.1513/AnnalsATS.201504-212CC. PMID 26317273.