Abstract
Based on the experience in examining more than 700 patients, the authors show the capacities of chest ultrasound study (USS) for space-occupying lesions in the mediastinum. With primary tumors and cysts being present or thyroid tumors spreading into the mediastinum, the technique permits the imaging of abnormalities in virtually all cases and the diagnosis of involvement of the large vessels of the mediastinum, pericardium, and heart. The nature of a tumor can be defined by the characteristic ultrasound pattern of pericardial coelomyc cyst, abdominomediastinal lipoma, broncho- and enterogenic cysts, teratoma, or neurinoma. Ultrasonically guided diagnostic puncture is performed if there is a need for morphological verification. The method allows therapeutic effectiveness to be evaluated during a follow-up of patients with mediastinal tumors receiving medical antitumor treatment.
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