Mediastinal Tumors

Mediastinal tumors are tumors that develop in the mediastinum - the area of the chest that separates the lungs and contains the heart, aorta, esophagus, thymus and trachea.

Jim Chessare Jim Chessare had robotic surgery to remove a malignant mediastinal tumor. He went home a day after surgery and quickly returned to normal activities. "My outcome was so incredibly positive; it couldn't have been better," said Chessare.

Mediastinal tumors can form and grow in the thymic, nerve, lymphatic or soft tissue and are seen in the front (anterior), middle, or back (posterior) of the mediastinum. In adults, the tumor is typically located in the front and is a malignant thymoma or lymphoma. In children, the tumor is usually located in the back, forms in the nerves, and is typically benign.

Experienced Cancer Team

At the University of Chicago Medicine, patients with a mediastinal tumor are diagnosed and treated by one of the most experienced cancer teams in the nation. Our oncologists and thoracic surgeons are members of the University of Chicago Medicine Comprehensive Care Center, a nationally recognized center at the forefront of cancer research and treatment and one of two NCI-designated Comprehensive Care Centers in Illinois. Our board-certified thoracic surgeons focus exclusively on surgery of the lungs and the chest cavity and are experts in minimally invasive surgery including robotic and video-assisted techniques.

Diagnosis

Many patients with mediastinal tumors have no symptoms. Others may experience one or more of the following symptoms as a result of the tumor pressing on surrounding organs and structures:

  • Chest pain
  • Shortness of breath
  • Hoarseness
  • Coughing or wheezing
  • Fever and/or chills
  • Night sweats
  • Unintended weight loss
  • Neck swelling

Most mediastinal tumors are discovered when a patient has a chest x-ray performed after experiencing these symptoms or for another unrelated condition. Follow-up tests may include:

  • CT chest scan
  • CT-guided needle biopsy
  • MRI
  • Mediastinoscopy with biopsy -- a minimally invasive technique that involves a lighted tube placed through a small incision in the neck. A small sample of tissue is taken for diagnostic purposes.

Comprehensive Medical and Surgical Treatment

The oncologists and thoracic surgeons at the University of Chicago Medicine are at the forefront of care for tumors of the lung and chest. This team collaborates to plan the best and least invasive treatment plan for each patient. Depending on the type, stage and location of the tumor, surgery or minimally invasive procedures are used in combination with chemotherapy and/or radiation therapy.

Chemotherapy, Radiation and Targeted Therapies

Chemotherapy is usually given before or after surgery to reduce or destroy any remaining cancer cells. Radiation may be used before or after surgery in combination with the chemotherapy. In addition to conventional chemotherapy and radiation, we also offer clinical trials and/or targeted therapies for these tumors. Our comprehensive approach “individualizes” the therapy to the patient’s tumor.

Surgery

When surgery is recommended, our thoracic surgeons use a minimally invasive approach whenever possible. These procedures include video-assisted thoracoscopy (VATS) and robotic-assisted surgery. Patients experience reduced pain, less scarring and a quicker recovery following a minimally invasive surgical procedure.

More Information


Appointments

How can I make an appointment for mediastinal tumor care?

  • Medical Oncology: 1-855-702-8222
  • Surgical Oncology: 773-702-2500

Or call 1-888-824-0200

More Information:

Information from the National Cancer Institute

Clinical Trials