Evaluation of mediastinal mass

Última revisão: 12 Aug 2025
Última atualização: 25 Mar 2025

Resumo

Diagnósticos diferenciais

comuns

  • Thoracic aortic aneurysm
  • Non-Hodgkin lymphoma
  • Metastatic cancer
  • Thymoma
  • Lung cancer
Detalhes completos

Incomuns

  • Aortic dissection
  • Hodgkin lymphoma
  • Mediastinal germ cell tumor: seminoma
  • Mediastinal germ cell tumor: nonseminoma
  • Thymic carcinoma
  • Primary tracheal tumors
  • Neurogenic tumor
  • Thyroid neoplasm
  • Substernal goiter
  • Acute lymphocytic leukemia (ALL)
  • Chronic lymphocytic leukemia
  • Pericardial cyst
  • Bronchogenic cyst
  • Esophageal cyst (includes esophageal duplication cyst)
  • Mediastinal germ cell tumor: mature teratoma
Detalhes completos

Colaboradores

Autores

Uma M. Sachdeva, MD, PhD

Assistant Professor of Surgery

Division of Thoracic Surgery

Massachusetts General Hospital

Harvard Medical School

Boston

MA

Declarações

UMS declares that she has no competing interests.

Agradecimentos

Dr Uma M. Sachdeva would like to gratefully acknowledge Dr Ashok Muniappan, Dr John Kucharczuk, Dr Mario Gasparri, and Dr Nicholas Choong, the previous contributors to this topic. AM, JK, MG, and NC declare that they have no competing interests.

Revisores

Marc Baker, MD, PhD

Cardiology Fellow

Department of Internal Medicine

Cardiology Division

University of Rochester

Rochester

NY

Declarações

MB declares that he has no competing interests.

Abe DeAnda Jr., MD, FACS, FAHA

University Associate Professor

Cardiothoracic Surgery

Albert Einstein College of Medicine

Director Aortic Surgery

Montefiore Medical Center

Bronx

NY

Declarações

AD declares that he has no competing interests.

Shahab A. Akhter, MD

Assistant Professor of Surgery

Section of Cardiac and Thoracic Surgery

The University of Chicago

Chicago

IL

Declarações

SAA declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Carter BW, Benveniste MF, Madan R, et al. ITMIG classification of mediastinal compartments and multidisciplinary approach to mediastinal masses. Radiographics. 2017 Mar-Apr;37(2):413-36.Texto completo  Resumo

Detterbeck FC, Lewis SZ, Diekemper R, et al. Executive summary: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013;143(suppl 5):7S-37S.Texto completo  Resumo

American College of Radiology. ACR appropriateness criteria: imaging of mediastinal masses. 2020 [internet publication].Texto completo

Silvestri GA, Gonzalez AV, Jantz MA, et al. Methods for staging non-small cell lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013;143(suppl 5):e211S-50S.Texto completo  Resumo

Artigos de referência

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