Posterior mediastinal mass (differential diagnosis)



Unicentric
Castleman disease. Posteroanterior chest X-ray demonstrates a left paravertebral mass, of smooth contours, that follows the left paraspinal line.

Primary
posterior mediastinal yolk sac tumour in a two-year-old girl. Heterogeneous mass with the extension into the pleural cavity and inferiorly into the liver. Aerated lung and small amount of collapsed lung are at the superior aspect of the mass.

Primary
posterior mediastinal yolk sac tumour in a two-year-old girl. heterogeneous echogenic mass (arrow) in the right pleural cavity surrounded by pleural fluid (star).

Primary
posterior mediastinal yolk sac tumour in a two-year-old girl. Heterogeneous attenuation mass causing the left shift of the heart (arrow).
The differential diagnosis for a posterior mediastinal mass includes:
- neoplasm
- neurogenic tumors: most common
- nerve sheath tumors
- parasympathetic ganglion tumors
- sympathetic chain tumors
- non-neurogenic tumors
- chordoma
- chondrosarcoma
- Ewing sarcoma
- esophageal neoplasm
- lymphoma
- invasive thymoma
- metastasis
- neurogenic tumors: most common
- infection
- inflammation
- mediastinitis
- sarcoidosis
- lymphoid hyperplasia
- pancreatic pseudocyst
- vascular
- descending thoracic aortic aneurysm
- varices
- lymphangioma
- hernias
- trauma
- paraspinal hematoma
- lymphadenopathy
- extramedullary hematopoiesis
- foregut duplication cysts
- thoracic meningocele
Siehe auch:
- Chordom
- Neuroblastom
- Hiatushernie
- Lymphom
- Schwannom
- Neurofibrom
- neuroenterische Zyste
- extramedulläre Hämatopoese
- Phäochromozytom
- benignes Ganglioneurom
- maligner peripherer Nervenscheidentumor (MPNST)
- Lymphadenopathie
- Duplikationszyste des Ösophagus
- neurogenic tumours
- Bochdalek'sche Hernie
- neuroblastic tumours
und weiter:
- Mediastinum
- Osteomyelofibrose
- Morbus Castleman
- Liposarkom des Mediastinums
- posterior mediastinal mass in the exam
- hinteres Mediastinum
- primary liposarcoma of the posterior mediastinum
- pleomorphic liposarcoma of the posterior mediastinum
- posterior mediastinal masses in children
- mediastinale Raumforderungen
- Yolk sac tumour arising within the posterior mediastinum
