Is mediastinal mass benign?

summary

In the process of climbing the mountain last week, I suddenly felt uncomfortable in my chest. Later, I had a rest and it was OK. Because I never felt uncomfortable in my chest, I went to the hospital for an examination in case. Today, I reported that it was a mediastinal tumor. I didn't have time to see a doctor. I don't know whether it was malignant or benign.

Is mediastinal mass benign?

Most benign mediastinal tumors are asymptomatic in clinic, more than in physical examination. The common symptoms of malignant mediastinal tumors are chest tightness. Chest pain is the most common symptom of all kinds of mediastinal tumors. If the pain is severe, the patients who are intolerable are mostly malignant tumors, and dyspnea occurs in severe cases.

The benign mediastinal tumor is asymptomatic, because it will grow up gradually, oppress the adjacent organs, and even have malignant transformation or secondary infection. If malignant mediastinal tumor has invaded adjacent organs and cannot be resected or has distant metastasis, surgery is contraindicated, and radiotherapy or chemotherapy can be given according to the pathological nature.

Mediastinal tumors can be divided into benign and malignant types. 95% of asymptomatic mediastinal tumors in adults are benign, 47% of symptomatic tumors are benign, and 25% - 50% are malignant. Neurogenic tumor, thymus and teratoma were the most common types of mediastinal tumors. I didn't see the report from the hospital. It's not clear whether you are benign or malignant.

matters needing attention

Patients with benign teratoma have no symptoms, even if the tumor is huge, there is no discomfort. The main symptoms are chest pain, cough and dyspnea. Occasionally, the tumor ruptured and penetrated into the tracheobronchial tree. The contents of the capsule could be coughed up, often bean dregs like sebum, even hair and teeth. Acute pericardial tamponade can be caused by tumor penetrating pericardium. Perforation of mediastinal pleura causes pleural effusion. Huge tumor will produce compression symptoms on the surrounding tissue, such as compression of the trachea and bronchus, in addition to cough and dyspnea, but also prone to atelectasis, pneumonia and other symptoms. Superior vena cava syndrome occurs when tumor oppresses recurrent laryngeal nerve and mass oppresses superior vena cava.