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. 2011 Aug;73(4):284-6.
doi: 10.1007/s12262-011-0282-x. Epub 2011 Apr 30.

The role of mediastinoscopy for diagnosis of isolated mediastinal lymphadenopathy

Zubin M Nalladaru  1 , Andre Wessels
Affiliations

The role of mediastinoscopy for diagnosis of isolated mediastinal lymphadenopathy

Zubin M Nalladaru et al. Indian J Surg. 2011 Aug.

Abstract

To determine the role of mediastinoscopy (MDS) in the histological diagnosis of isolated mediastinal lymphadenopathy in a centre where more sophisticated investigations, like positron emitting tomography (PET) scan and endobronchial ultrasound guided trans-bronchial needle aspiration (EBUS-TBNA) is not available. This is a retrospective study. From January 2006 to December 2009, 31 patients with isolated mediastinal lymphadenopathy underwent MDS to establish a histological diagnosis. The mean age was 36.3 years. Among the patients, 19 were males and 12 were females. The most common symptom was dry cough in 18 (58%) patients. The diagnostic yield was 96.8%, with sarcoidosis being the commonest diagnosis. It was concluded that MDS was vital in establishing a histological diagnosis in patients with isolated mediastinal lymphadenopathy.

Keywords: Lymphadenpathy; Lymphoma; Mediastinoscopy; Sarcoidosis; Tuberculosis.

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