第7巻 2011年6月　第3号

■綜説

縦隔腫瘍の診断と治療
平井　恭二
日本医科大学大学院医学研究科機能制御再生外科学
日本医科大学千葉北総病院胸部・心臓血管・呼吸器外科

The Diagnosis and Treatment of Mediastinal Tumors
Kyoji Hirai
Department of Biological Regulation and Regenerative Surgery, Graduate School of Medicine, Nippon Medical School
Department of Cardiovascular and Thoracic Surgery, Nippon Medical School Chiba Hokusoh Hospital

Mediastinal tumors are related to various diseases. To appropriately treat these diseases, thoracic surgeons must cooperate with physicians in other departments. Accurate diagnosis with computed tomography, magnetic resonance imaging, and positron-emission tomography are indispensable for these diseases. A thorough assessment of the tumor should include its size, shape, surface, relationship with adjacent organs, and other characteristics, including nodal involvement, remote metastasis, pleural dissemination, pericardial dissemination, pulmonary metastasis, invasion to chest wall, development to the vertebral canal, and hematological studies. Less-invasive procedures by means of video-assisted thoracic surgery is an option for resection of noninvasive tumors, such as Masaoka stage I and II thymomas. Whether video-assisted thoracic surgery is an appropriate surgical procedure for mediastinal tumors depends on accurate imaging diagnosis. In this article, a new method for anatomic compartment classification of the mediastinum for axial computed tomograms and x-ray films is reviewed. Additionally, the characteristics of mediastinal tumors and recent surgical treatments are described.

日医大医会誌 2011; 7(3), 113-118

Key words
mediastinum, mediastinal tumor, video-assisted thoracic surgery

Correspondence to
Kyoji Hirai, MD, Department of Cardiovascular and Thoracic Surgery, Nippon Medical School Chiba Hokusoh Hospital, 1715 Kamagari, Inba-mura, Inba-gun Chiba 270-1674, Japan
E-mail：ky-hirai@nms.ac.jp

受付：2011年1月31日　受理：2011年3月3日