How are lymphatic tumors in the mediastinum treated?

Updated: Feb 16, 2021
  • Author: Mary C Mancini, MD, PhD, MMM; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

Surgical resection is not indicated as primary treatment for any of the lymphomas involving the mediastinum. However, various surgical procedures, including staging laparotomy, may be required for the sampling of lymph nodes or other tissues so that accurate diagnosis and staging of the lymphatic tumor is achieved.

Specific complications of mediastinal lymphoma, such as pericardial effusion and tamponade or persistent pleural effusion, may require surgical treatment. Occasionally, surgical resection of a residual mediastinal mass is indicated after the completion of chemotherapy and radiotherapy in order to establish the presence or absence of residual tumor and to determine if further chemotherapy is indicated.


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