Mediastinal tumors are growths that form in the middle of the chest area, which separates the lungs.
The mediastinum is the part of the chest that lies between the sternum and the spinal column, and between the lungs. This area contains the heart, large blood vessels, windpipe (trachea), thymus gland, esophagus, and connective tissues. The mediastinum is divided into three sections:
Mediastinal tumors are rare.
The most common location for tumors in the mediastinum depends on the age of the patient. In children, tumors are more common in the posterior mediastinum. These tumors often begin in the nerves and are non-cancerous (benign).
Most mediastinal tumors in adults occur in the anterior mediastinum and are usually cancerous (malignant) lymphomas or thymomas. These tumors are most common in people ages 30 - 50.
Almost half of mediastinal tumors cause no symptoms and are found on a chest x-ray performed for another reason. Symptoms that do occur are due to pressure on (compression of) local structures and may include:
A medical history and physical examination may show:
Further testing may include:
Treatment for mediastinal tumors depends on the type of tumor and your symptoms.
The outcome depends on the type of tumor. Different tumors respond differently to chemotherapy and radiation.
Complications of mediastinal tumors include:
Radiation, surgery, and chemotherapy can all have serious complications.
Call your health care provider if you notice symptoms of a mediastinal tumor.
Thymoma - mediastinal; Lymphoma - mediastinal
McCool FD. Diseases of the diaphragm, chest wall, pleura,and mediastinum. In Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed.Philadelphia, PA: Saunders Elsevier; 2011:chap 99.
Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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