Abstract
The aim of our study was to assess the interest of cervical mediastinoscopy in the management of benign mediastinal lymphadenopathy. We performed a single-center retrospective descriptive study over a period of 5years (2013-2017) in the department of thoracic surgery of university hospital Hassan II of Fez. During this period, a total of 137cervical mediastinoscopies were performed among which 68for a benign disease. This represents a frequency of 49.63%. There were 22men and 46women with a mean age of 43.76years±17.08. Chest CT showed isolated mediastinal lymphadenopathy in 52%, associated with pulmonary images in 35%. Cervical mediastinoscopy led to pathological diagnosis in 94%. The pathological results showed a sarcoidosis in 51.5%, tuberculosis in 41.2% and a lymph node echinococcosis in 1case. Cervical mediastinoscopy remains a low risk modality in expert hands, which allows pathological diagnosis with excellent sensitivity, acceptable morbidity and no mortality in our experience.
Published Version
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