Abstract
Mediastinal tumours can be a real challenge in terms of diagnostic testing and therapy. One reason for this is that there is a wide range of different tumour types. Even when the tumour is large, many of the affected patients are completely asymptomatic at the time of diagnosis. As a rule, specific types of tumours can be assessed with regard to spatial allocation to a mediastinal compartment. However, if possible, diagnosis should be confirmed via puncture or a biopsy. Various methods are available. Choosing the optimal access route for surgical removal of a mediastinal tumour is an important issue. It must be planned on the basis of the tumour's spatial location, size and extent in imaging. This is the best possible option for low-risk and complete removal of any mediastinal tumour.
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