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Other Mediastinal Masses

Bronchogenic cyst

A bronchogenic cyst is a congenital anomaly in the bronchus.

Symptoms can include:

  • Coughing
  • Wheezing
  • Some patients are asymptomatic

Surgery to remove the cyst is either a partial or complete lobectomy of the lobe of the lung affected. Typically this is a performed as a minimally invasive (VATS) procedure.

A video assisted surgery is a minimally invasive lung surgery where the surgeon creates multiple small incisions in the chest and uses a video camera that sees into the chest in order to perform the procedure. Performing a VATS procedure will accomplish the same anatomic dissection as an open thoracotomy approach.
This is the standard operation for surgical treatment of lung cancer and involves removing an entire lobe of the lung. Other indications for lobectomy include tuberculosis, chronic lung abscess, bronchiectasis, benign tumors, fungal infection, and congenital anomalies.

Pericardial Cyst

A pericardial cyst is a cyst that occurs on the lining of the heart. These are typically asymptomatic, but can sometimes cause symptoms if other structures are impacted. If the cyst remains stable over time, surgery may not be indicated. If the patient has symptoms that can be associated with the pericardial cyst and/or there is evidence of growth, over time, then surgical removal may be recommended.

Schwannoma

A schwannoma is a typically benign, slow growing tumor of the tissue that covers nerves. It can be found anywhere on the body. Symptoms depend on where on the body the schwannoma is present. If symptoms are severe and there is a safe window to remove the tumor, surgical resection may be recommended.