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Right sided anterior mediastinal mass
Dear Doctor,
I am 62 years old, k/c/o-Hypertension. My son took me for a regular health check-up during which opacity was seen in right lower zone in chest x-ray, and a CT thorax with contrast was performed. which showed a well-defined lobulated mass lesion(6.6x5.3x6.5cm) in the anterior mediastinum on right side involving the prevascular space.
I would like to share with you, my CT thorax images for your second opinion to rule out if it is a lymph node mass or Thymoma or thymic carcinoma or any other possibilities, however I am asymptomatic.
Kindly give me your opinion and treatment options.
Please VIEW CT scan Images online at:
http://www.dicomlibrary.com/?study=1.2.826.0.1.3680043.8.1055.1.20xxxxxxx15520944.780672086.1166234
Download CT images at:
http://www.dicomlibrary.com/?requestType=WADO&studyUID=1.2.826.0.1.3680043.8.1055.1.20xxxxxxx15520944.780672086.1166234&manage=9f43fb9bfb1e46c51fca70081f179a25
Thanks.
Answers (2)
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Dr. Sandeep Nayak
Surgical Oncologist
24 yrs exp
Bangalore
Dear sir,
Any anterior mediastinal mass needs a thorough evaluation. From the description you have provided it could be any one of the things you have mentioned: lymph nodes, thymoma, GCT, etc.
Next Steps
I would suggest you to consider a few blood tests: AFP, beta HCG, LDH. Also get a image guided FNAC or biopsy. This would narrow down the diagnosis and then a treatment can be planned.
Health Tips
if it is a thymoma or thymic carcinoma, a thoracoscopic surgery can be planned, which would be the most painless option for the patient.
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Dr. Shubham Jain
Surgical Oncologist
17 yrs exp
Delhi
It seems resectable with robotic surgery. Please contact for further details
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.