Parish J M, Rosenow E C, Muhm J R
Postgrad Med. 1984 Sep 1;76(3):173-82, 185-6. doi: 10.1080/00325481.1984.11698724.
The best approach to evaluation of a mediastinal mass begins with a history and a physical examination that are oriented toward discovery of evidence of compression or obstruction to any of the mediastinal organs. Currently, the most efficient radiographic approach, after the plain chest roentgenogram, is computed tomography of the thorax, supplemented as needed by selected plain tomograms or a barium swallow examination. Unless the mass is definitely a benign lesion of no consequence, such as a pericardial fat pad, thoracotomy by an experienced thoracic surgeon is usually necessary to make a specific diagnosis and excision is performed if possible.
评估纵隔肿物的最佳方法首先是进行病史采集和体格检查，旨在发现纵隔任何器官受压或梗阻的证据。目前，在胸部X线平片之后，最有效的影像学检查方法是胸部计算机断层扫描，必要时辅以选定的普通断层扫描或吞钡检查。除非肿物明确为无影响的良性病变，如心包脂肪垫，否则通常需要由经验丰富的胸外科医生进行开胸手术以做出明确诊断，如有可能则进行切除。
