Neuroganglioma in the posterior mediastinum: an incidental discovery.

Ganglioneuroma, a rare benign neuroblastic tumor, typically arises in the posterior mediastinum, but it can be found in the anterior mediastinum and thymus. Predominantly affecting the young, these asymptomatic tumors are often discovered incidentally through imaging. In our reported case, a 44-year-old woman post-hysterectomy with persistent jaundice was diagnosed with a neuroganglioma in the right posterior mediastinum via a computed tomography (CT) scan. Thoracotomy and resection revealed a 10-cm neuroganglioma untangled from mediastinal planes. Post-surgery, chylothorax emerged, which was managed through a 5-day fasting approach. Thoracic neurogangliomas, rare and often asymptomatic, demand meticulous diagnosis, emphasizing imaging and histopathology, with postoperative vigilance for complications.

Mouthwashes and Nasal Sprays as a Way to Prevent the Spread of SARS-CoV-2 / Enjuagues Bucales y Aerosoles Nasales como un Método de Prevenir la Propagación de SARS-CoV-2

ABSTRACT: COVID-19 pandemic has infected millions of people around the world. Due to its large accumulation in the nasopharyngeal region and transmission through respiratory fluids, its spread among people is extremely high. Considering the needed time for treatments and vaccine development, the research of preventive methods, such as the use of mouthwash and nasal spray, that could decrease the viral load in the nasopharyngeal region, and thus the spread of SARS-CoV-2, becomes fundamental. The evidence has shown that there are compounds with antiviral capacity that could be used for this purpose, among which are povidone-iodine, hydrogen peroxide, cyclodextrins, and the synthetic drug PUL-042. Currently, there is no clinical evidence that proves the effectiveness of these substances against SARS-CoV-2. Nevertheless, there are ongoing clinical trials to prove it and generate methods that could help to prevent or, at least, decrease its spread among the population and stop this pandemic.

RESUMEN: La pandemia de COVID-19 ha infectado a millones de personas en el mundo. Su extremadamente alta capacidad de propagación se debe a la gran acumulación en la región nasofaríngea y su transmisión vía fluidos respiratorios.Considerando el tiempo necesario para desarrollar vacunas y tratamientos, se vuelve fundamental la investigación de métodos preventivos como el uso de enjuague bucal y spray nasal, que puedan disminuir la carga viral en la zona nasofaríngea y así también la capacidad de propagación de SARS-CoV-2La evidencia presenta compuestos con capacidad antiviral como la povidona iodada, peróxido de hidrógeno, ciclodextrinas y la droga sintética PUL-042, que podrían ser usados para dicho propósito. Actualmente no existe evidencia clínica que demuestre la efectividad de estas sustancias contra SARS-Cov-2, sin embargo, se están desarrollando estudios clínicos para probarlos y generar métodos que ayuden a disminuir o prevenir su transmisión en la población, y así detener esta pandemia.

Can a Nasal/Oral/Ocular Spray Inactivate and Prevent SARS-CoV-2 infection? A hypothesis / ¿Puede un Spray Nasal/Oral/Ocular Inactivar y Prevenir la Infección por SARS-CoV-2?: Una hipótesis

ABSTRACT: The COVID-19 pandemic has created challenges that have been dealt with adopting measures such as prolonged or intermittent social distancing, which may even be necessary until 2022. Furthermore, it has been described that a SARS-CoV-2 contagion route corresponds to the inhalation of the virus. Medications via nasal/eye spray and inhalers, therefore, could fulfill the function of inactivating SARS-CoV-2. Due to the abovementioned reasons, we suggest the following hypothesis: The use of Ocular/Nasal/Oral sprays could prevent the infection and the further spread of SARS-CoV-2.

RESUMEN: La pandemia de COVID-19 propone desafíos que han sido manejados con medidas como distanciamiento social prologado o intermitente, el cual podría ser necesario hasta 2022. Se ha descrito que la ruta de contagio de SARS-CoV-2 corresponde a la inhalación del virus. La medicación a través de un spray nasal/ocular podría cumplir la función de inactivar SARS-CoV-2. Por las razones antes presentadas, los autores sugerimos la siguiente hipótesis: El uso de un spray ocultar/nasal/oral previene la infección y replicación de SARS-CoV-2.

Radical aggressive treatment among non-small cell lung cancer patients with malignant pleural effusion without extra-thoracic disease.

Malignant pleural effusion (MPE) is an indicator of advanced disease (stage M1a) in patients with non-small cell lung cancer (NSCLC). Typically, these patients are candidates for palliative treatment. There is a lack of evidence about the radical surgical treatment in carcinomatous pleuritis with massive effusion. Here, we present data from a specific subset of patients with MPE treated with systemic therapy and aggressive surgical therapy. M1a NSCLC adenocarcinoma patients with MPE and without extra-thoracic disease were included. After receiving systemic therapy, all patients underwent surgical treatment, which included pneumonectomy or lobectomy, plus mediastinal dissection. Following surgery, patients received radiotherapy to thoracic wall and mediastinum. A total of six patients were analyzed. All patients had an Eastern Cooperative Oncology Group (ECOG) performance status ≤1, two patients harbored EGFR mutation and were treated with tyrosine kinase inhibitors (TKIs), the other four patients were treated with pemetrexed and platin as first-line treatment. Following systemic therapy, two patients had a pneumonectomy, four patients had a lobectomy plus pleurectomy performed. All patients continued with maintenance systemic therapy, and achieved complete responses, according to RECIST 1.1 criteria. The media progression-free survival (PFS) time was 15.9 months (95% CI: 15.6-55.5 months). At the last follow-up, all patients were still alive, with 4 of them without signs of macroscopic tumoral activity. The median overall survival (OS) was not reached. NSCLC patients with MPE without extra-thoracic disease could benefit from an aggressive surgical approach following standard of care systemic therapy. However, considering the low sample size of this study and the relatively low incidence of MPE without extra-thoracic disease, further prospective multi-center studies are necessary to evaluate aggressive surgery as a therapeutic option.

Extended resections of large thymomas: importance of en bloc thymectomy.

BACKGROUND: Primary tumors of the thymus are rare; the most common histologic type is thymoma. Most important prognostic factors are anatomical extent of tumor and completeness of surgical resection. Large size has not been directly associated with survival, but is strongly associated with advanced disease and high rates of incomplete resections. METHODS: A retrospective cohort of patients who underwent thymectomy for thymomas of 5 cm or larger at the National Cancer Institute (INCan) of México from January 2005 to December 2016 was analyzed. Primary end-points were rate of complete resection, morbidity and mortality of thymectomy. Secondary end-points were overall survival (OS) and disease-free survival (DFS). RESULTS: A total of 25 patients were identified and included in the final analysis. Mean age was 56.6 years (27-82 years). Median size of thymoma was 8.3 cm (5-14 cm). Transesternal approach was used in 72% of cases, most of cases (68%) required an extended resection to achieve negative margins. Complete resection was achieved on 23 cases (92%). A 90-day morbidity of 24% and mortality of 8% was found, with a median follow-up of 34.5 months (1-113 months). The only factor associated with OS was completeness of surgical resection (P<0.0001). CONCLUSIONS: Size of thymomas should not be considered as a contraindication for surgical treatment. Our data suggest that extended surgery is feasible even in advanced cases and provides the best chance for cure. Complete resection remains as one of the most important prognostic factor in thymomas and is associated with prolonged DFS and OS.

Manejo del derrame pericárdico en el paciente con cáncer / Management of pericardial effusion in cancer patients

Introducción. El derrame pericárdico es la complicación cardiaca más frecuente en el paciente con cáncer. El cáncer de pulmón y el cáncer de mama son las neoplasias sólidas más frecuentemente asociadas con derrame pericárdico. El manejo oncológico multimodal ha permitido un aumento de la supervivencia global y ha expuesto complicaciones oncológicas que exigen manejo individualizado para estos pacientes. Objetivo. Se describe la experiencia en el manejo del derrame pericárdico, desde su fisiopatología, la adecuada clasificación en derrame pericárdico asociado a neoplasia maligna, derrame pericárdico maligno o carcinomatosis pericárdica, hasta su abordaje diagnóstico y terapéutico. Resultados. La incidencia del derrame pericárdico en nuestra institución es de 12 %. En casi 100 procedimientos en 11 años de ventana pericárdica, pericardiectomía e instalación de catéter subcutáneo (tunnelized) pericárdico o pleuropericárdico temporal, la mortalidad posoperatoria fue de 1,2 %, y la recurrencia del derrame pericárdico fue de 2,1 % comparada con una de 33 % en los pacientes sometidos a pericardicentesis. Conclusión. El derrame pericárdico maligno es una urgencia oncológica. Requiere manejo costo-efectivo en términos de ser resolutivo, expedito y duradero, sin agregar morbilidad en un paciente ya con deterioro de su estado general. La ventana pericárdica por toracoscopia (Video-Assisted Thoracoscopic Surgery, VATS) en pacientes seleccionados y la minitoracotomía antero-lateral son la vía ideal de abordaje del paciente con derrame pericárdico maligno

Introduction: Pericardial effusion is the most frequent cardiac complication in the cancer patient. Lung cancer and breast cancer are the most common solid neoplasms associated with pericardial effusion. Multimodal oncology management has allowed an increase in overall survival and has exposed oncological complications, which require individualized management for these patients Objective: We present our experience in the management of pericardial effusion, from its physiopathology, adequate classification in: pericardial effusion associated with malignancy, pericardial effusion and pericardial carcinomatosis. Diagnostic and therapeutic approach. Results: the incidence of pericardial effusion in our institution is 12%. In almost 100 pericardial window procedures, pericardiectomy and installation of a pericardial or pleuropericardial tunnelled catheter, in 11 years postoperative mortality was 1.2% and pericardial effusion recurrence was 2.1% compared to 33% recurrence in patients Led to pericardicentesis. Conclusion: Malignant pericardial effusion is an oncologic emergency. It requires cost-effective management in terms of being resolute, expeditious and lasting, with no additional morbidity to a patient, who already appears deteriorated in his general condition. The pericardial window by thoracoscopy, VATS in selected patients and the mini anterolateral thoracotomy are the ideal approach for the patient with malignant pericardial effusion

Síntesis y caracterización estructural de hidrotalcitas de Cu-Zn-Al / Synthesis and structural characterization of Zn-Al-Cu hydrotalcites / Síntese e caracterização estrutural de hidrotalcitas de Cu-Zn-Al

Las hidrotalcitas pueden ser usadas en áreas como catálisis, medicina, química ambiental, entre otras. Dependiendo de los metales presentes, los sólidos derivados de la calcinación de hidrotalcitas también son usados debido a su carácter básico, efecto de memoria y alta área superficial especifica. En este estudio se describen algunas características de hidrotalcitas a base de Cu-Zn-Al. Los análisis se realizaron usando AAS, DRX, FTIR, TGA y DSC. En el espectro FTIR se observó que, en los sólidos con mayor cantidad de cobre, la banda del estiramiento O••H (M••OH, H••OH) se desplazó a valores más bajos de número de onda, debido a que la densidad electrónica de los grupos OH se orienta hacia el centro metálico de cobre. En todos los sólidos se observó la formación de la fase hidrotalcita, y de la fase Cu(OH)) en los sólidos con mayor contenido de cobre, lo que puede ser atribuido al efecto Jahn-Teller. Los resultados mostraron que los sólidos con mayor contenidode cobre colapsan en temperaturas menores. En todas las muestras se observaron eventos como:descomposición de la estructura HTLc, formación de óxidos metálicos y descomposición decarbonatos que quedaron ocluidos en los poros de los sólidos debido al colapso de la estructuralaminar.

Hydrotalcite-like compounds have been used in catalysis, medicine, environmental chemistry, and other applications. Depending on the metals present, the solids obtained by calcination can be used due to their basicity, memory effect, and high specific surface area. This study describes some characteristics of hydrotalcites based on Cu-Zn-Al. The solids were characterized by AAS, XRD, FTIR, DSC and TGA. In the FTIR spectra it was observed that in the solids with higher copper contents the band signed to O••H stretching (M••OH, H••OH) was moved to lower wave number values, because electron density of hydroxide groups orients toward the metallic copper center. In all materials hydrotalcite phase formation was observed and the Cu(OH)) phase in solids with higher copper content was detected, fact attributed to the Jahn-Teller effect. Results indicate that the collapse of the structure occurs at lower temperatures in the case of solids with higher copper content. In all the tested materials the decomposition of the HTLc structure and the formation ofmetal oxides was observed, as well as decomposition of carbonate ions occluded in the solid dueto the collapse of the lamellar structure.

Os compostos do tipo hidrotalcita podem ser usados nas áreas de catalise, medicina, química ambiental, entre outras. Dependendo dos metais presentes, os sólidos obtidos pela calcinação de hidrotalcitas também podem ser usados devido a propriedades tais como: caráter básico, efeito de memória e elevada área superficial especifica. Neste estudo descrevem-se algumas características das hidrotalcitas baseadas em Cu-Zn-Al. Na caracterização dos sólidos usaram-se astécnicas AAS, DRX, FTIR, TGA e DSC. Observou-se nos sólidos com maior conteúdo de cobre que o estiramento O••H (M••OH, H••OH) se desloca a valores menores de numero de onda, devido a que a densidade eletrônica dos grupos hidróxido se orienta em direção ao centro metálico de cobre. Em todos os materiais observou-se a fase hidrotalcita e nos sólidos com maior conteúdo de cobre foi detectada a fase Cu(OH)), fato atribuído ao efeito Jahn-Teller. Os resultados indicam que o colapso da estrutura acontece em temperaturas menores no caso dos sólidos com maior conteúdo de cobre. Em todos os materiais observaram-se decomposição da estrutura HTLc, formação de óxidosúmetálicos, e a decomposição dos íons carbonato que ficaram ocluídos nos sólidos devido ao colapsoda estrutura lamelar.

Activated carbons from waste of oil-palm kernel shells, sawdust and tannery leather scraps and application to chromium(VI), phenol, and methylene blue dye adsorption.

Phenol, chromium, and dyes are continuously dumped into water bodies; the adsorption of these contaminants on activated carbon is a low-cost alternative for water remediation. We synthesized activated carbons from industrial waste of palm oil seed husks (kernel shells), sawdust, and tannery leather scraps. These materials were heated for 24 h at 600, 700 or 800°C, activated at 900°C with CO2 and characterized by proximate analysis and measurement of specific surface area (Brunauer-Emmett-Teller (BET) and Langmuir), and microporosity (t-plot). Isotherms showed micropores and mesopores in activated carbons. Palm seed activated carbon showed the highest fixed carbon content (96%), and Langmuir specific surface areas up to 1,268 m2/g, higher than those from sawdust (581 m2/g) and leather scraps (400 m2/g). The carbons were applied to adsorption of Cr(VI), phenol, and methylene blue dye from aqueous solutions. Phenol adsorption on activated carbons was 78-82 mg/g; on palm seed activated carbons, Cr(VI) adsorption at pH 7 was 0.35-0.37 mg/g, and methylene blue adsorption was 40-110 mg/g, higher than those from sawdust and leather scraps. Activated carbons from palm seed are promising materials to remove contaminants from the environment and represent an alternative application for vegetal wastes instead of dumping into landfills.

Lung metastasectomy: long-term outcomes in an 18-year cohort from a single center.

Lung metastasectomy is an area of interest and controversy in surgical oncology. Most of the available evidence derives from small cohorts with short follow-up. The aim of this study was to evaluate the oncologic outcomes in an 18-year cohort from a single center. We retrospectively reviewed 398 patients with several malignancies who underwent lung metastasectomy between January 1990 and December 2008. Demographic, clinical, and surgical variables were evaluated. Uni- and multivariate analyses were performed to identify factors associated with overall survival (OS). Mean follow-up was 20 months. Wedge resection was performed in 297 cases and 101 required anatomic resections. In 303 patients the disease-free interval (DFI) was >6 months meanwhile 95 patients had a DFI ≤6 months. Complete resection was achieved in 351 patients (88.2%). Median OS for all patients was 81.9 months (95% CI, 36.9-126.9). On multivariate analysis, factors associated with a poor overall survival were DFI <6 months (HR, 1.74; 95% CI, 1.24-2.4; p=0.001) and incomplete resection (HR, 1.58 95% CI, 1.01-2.5; p=0.0047). Independent prognostic factors associated with better survival were DFI >6 months and complete resection. Size and number of metastases as well as re-do metastasectomy were not associated with worse survival.

Propiedades intrrfaciales del surfactante pdms-eg-anhídrido maléico-ácido fumáárico (pdms-peg-am-af) en solución acussa / Interfacal propeerties of surfactant pdm-peg-maleic anhydride-fumaric aacid (pdms-peg-am-af) in aqueous solutoon / Proprieddes inteerfaciais do surfactantepdms-peg-anidrido maleico-ácidoo fumárico (pdms-peg-am-af) em soluçâoaaquosa

En este estudio se determinaron las propiedades interfaciales en solución acuosa del surfactante del tipo PDMS-éster que contiene polidimetilsiloxano (PDMS), polietilenglicol (PEG), anhídrido maléico y ácido fumárico. Para el estudio de las propiedades interfaciales se emplearon las técnicas tensiometría y espectroscopia en la región del UV-VIS. En solución acuosa este surfactante mostró un comportamiento complejo, que es dependiente de la concentración. En este surfactante se observó un cambio brusco en la curva de tensión superficial en función de la concentración, produciendo una reducción de la tensión superficial del agua hasta 48,9 mN/m en la CMC. La concentración del surfactante en la CMC fue de 1032 mg/L. La eficiencia del surfactante PDMS-éster se calculó como pC20 y se determinó como la concentración del surfactante necesaria para conseguir una disminución de la tensión superficial de 20 mN/m. El valor de C20 obtenido fue 213 mg/L (1,554x10-5 mol/L) (pC20=4,81). Esta concentración sirve como un indicador de la eficiencia de la adsorción del surfactante, ya que la reducción de la tensión superficial de la solución por el surfactante depende de la substitución de moléculas en la interface solución/vapor.

In this work the interfacial properties in aqueous solution of surfactant of si-licon PDMS-ester type containing PEG, anhydride maleic and fumaric acid had been determined. In order to study the interfacial properties tensiometry and spectroscopy UV-VIS techniques were used. The surfactant in aqueous solution showed a complex behavior and this is dependent on the concentration. This surfactant was showed an abrupt change in surface tension curve as a function of concentration, leading to reduced sur-face tension of water to 48.9 mN/m in the CMC. The concentration of surfac-tant in the CMC was 1032 mg/L. The effciency of the PDMS-ester surfactant was calculated as pC20 and determined as the concentration of surfactant re-quired to achieve a decrease in surface tension up 20mN/m. The value of C20 obtained was 213 mg/L (1.554 x10-5 mol/L) (pC20 = 4.81). This concentra-tion serves as an indicator of the eff-ciency of adsorption of the surfactant, since the reduction of surface tension of the surfactant solution depends on the substitution of molecules at the interfa-ce solution / vapor.

Neste trabalho foi feita a determinação das propriedades interfaciais do surfactante de silicone tipo PDMS-éster, con-tendo PEG, anidrido maleico e ácido fumárico. Para o estudo das propriedades interfaciais foram utilizadas as técnicas tensiometria e espectroscopia na região UV-VIS. Em solucao aquosa, este surfactante mostra um comportamento complexo e é dependente da concentracao; além disso, mostra urna mudança brusca na curva de tensão superficial em função da concentracao, produzindo urna reducao da tensão superficial da água até 48,9 (mN/m) na CMC. A concentracao do surfactante na CMC foi de 1032 mg/L. A eficiência do surfactante PDMS-éster foi calculada como pC20 determinada como a concentracao do surfactante necessá-ria para conseguir urna diminuicao da tensão superficial de 20mN/m. O valor de C20 obtido foi 213 mg/L (1,554x10"5 mol/L) (pC20=4,81). Esta concentracao serve como um indicador da eficiência da adsorcao do surfactante, já que a redução da tensão superficial da solução pelo surfactante depende da substituicao de moléculas na interface solucao/vapor.

SÍNTESIS DE CATALIZADORES DE Ni/ZnO/Al2O3 PARA LA REACCIÓN WGS A TRAVÉS DEL ESTUDIO DE LAS PROPIEDADES ESTRUCTURALES Y CATALÍTICAS DE Ni/ZnO Y M/Al2O3 / NTHESIS OF Ni/ZnO/Al2O3CATALYSTS FOR THE WGS REACTION FROM THE STUDY OF STRUCTURAL AND CATALYTIC PROPERTIES OF Ni/ZnO AND NÍ/AI2O3 / SÍNTESE DE CATALISADORES DE Ni/ZnO/Al2O3PARA A REAÇÃO WGS MEDIANTE O ESTUDO DAS PROPRIEDADES ESTRUTURAIS E CATALÍTICAS DE Ni/ZnO E M/Al2O3

El uso del hidrógeno para la generación de energía ha renovado el interés por la reacción WGS. Los catalizadores usados para acelerar esta reacción requieren condiciones especiales de reducción, lo que dificulta su aplicación en celdas combustibles para la producción de energía. En este trabajo se sintetizaron catalizadores de níquel soportado en óxido de cinc o aluminio usando un diseño factorial 3² en el caso de los materiales con cinc. Los resultados obtenidos se emplearon en la síntesis de sólidos trimetálicos de níquel, cinc y aluminio en las condiciones más propicias para garantizar mejor actividad y selectividad. Los sólidos fueron caracterizados por EDX, DRX, TPR y evaluados en la reacción WGS a 260 °C. Se observó la incorporación de los cationes Zn²+ yAl³+ en la red del NiO, lo que disminuye su reducibilidad con hidrógeno. Los materiales que contenían cinc fueron 100% selectivos para la reacción WGS. En la evaluación de los catalizadores con níquel y aluminio hubo formación de metano; sin embargo, este compuesto no fue observado durante la evaluación catalítica de los sólidos trimetálicos. Los catalizadores más activos fueron aquellos calcinados en temperaturas más bajas y con las menores cantidades de cinc.

The use of hydrogen for power generation has again awaken the interest in the WGS reaction. The catalysts used to accelerate this reaction need special conditions of reduction. This limits their application in fuel cells for energy production. In this work, nickel catalysts-supported in zinc oxide or aluminum oxide were synthesized by using a 3² factorial design with materials containing zinc. The results were used for the synthesis of trimetallic solid containing nickel, zinc and aluminum, in the most favorable conditions to ensure high activity and selectivity. The solids were characterized by EDX, XRD, TPR and evaluated in the WGS reaction at 260 °C. The incorporation of Zn2+ and Al3+ cations was observed in the lattice of NiO. This phenomenon affects the reducibility of these materials with hydrogen. The materials containing zinc were of 100 per cent selectivity for the reaction under study. In the case of nickel and aluminum catalysts, methane formation was observed, but this species was not detected in the trimetallic catalysts. The catalytic activity of trimetallic materials is consistent with the trends in bimetallic nickel-zinc or nickel-aluminum materials. The most active catalysts were those calcined at the lowest temperatures with the smallest amounts of zinc.

O uso do hidrogênio para a geração de energia tem renovado o interesse pela reação WGS. Os catalisadores usados para acelerar esta reação requerem condições especiais de redução. Isso dificulta a sua aplicação em células combustíveis para a geração de energia. Neste trabalho se sintetizaram catalisadores baseados em níquel suportado em oxido de zinco ou alumínio, usando um desenho fatorial 3² no caso dos materiais contendo zinco. Os resultados obtidos foram usados para a síntese de sólidos tri-metálicos contendo níquel, zinco e alumínio nas condições ótimas para aumentar a atividade e seletividade dos materiais. Os sólidos foram caracterizados pelas técnicas EDX, DRX, TPR e avaliados na reação WGS a 260 °C. Observou-se a incorporação dos cátions Zn2+ eAl3+ na rede do NiO, o que diminui a redução dos sólidos com hidrogênio. Os sólidos contendo zinco foram 100% seletivos para a reação em estudo. Na avaliação dos catalisadores contendo níquel e alumínio ocorreu a formação de metano, no entanto esta espécie não foi observada na avaliação catalítica dos sólidos tri-metálicos. Os catalisadores mais ativos foram os calcinados nas temperaturas mais baixas e com menores quantidades de zinco.

Schwannomas medaastinales: comunicación de casos y revisión de la literatura

Introducción: Los tumores del mediastino comprenden un grupo heterogéneo de neoplasias raras con comportamiento biológico muy variable. En México, las estadísticas reportan que corresponde al 0.88% de todas las neoplasias. En general, del 30 al 76% de todos estos tumores son malignos. De éstos el 53% corresponden a tumores neurógenos. Objetivo del estudio: Conocer la frecuencia del Schwannoma mediastinal, en el Instituto Nacional de Cancerología (INCan), así como el manejo de esta patología. Material y métodos: Se revisaron expedientes del archivo clínico de 1980 a 2003 con diagnóstico de tumor mediastinal. Se registraron edad, sexo, presentación clínica, presentación radiológica, métodos diagnósticos, tratamientos previos, histología, tratamiento y resultados. Resultados: 109 pacientes con diagnóstico de tumor mediastinal fueron tratados en el INCan entre 1980 al 2003; 9 casos correspondían a tumores de origen neuroepitelial; 4 pacientes fueron llevados a cirugía. Se realizaron 3 resecciones y una tumorectomía. La histología y el tamaño son factores que influyen en el resultado. La resección completa es curativa y la adyuvancia con radioterapia posoperatoria puede ser útil.

Introduction: Mediastinal tumors include an heterogenous group of neoplasms with variable biological behavior. In Mexico they represent 0.88% of all neoplasms. Thirty to 76% of these tumors are malignant; of these, 53% are neurogenic. Objectives: To study the frequency of mediastinal Schwannomas at our institute. Material and methods: A chart review of mediastinal tumors from 1980 to 2003 was done. Age, sex, clinical presentation, radiological features, previous diagnoses and treatments, histology, treatment and results were recorded. Results: 109 patients with mediastinal tumors were treated in the National Institute of Cancer from 1980 to 2003; 9 cases were tumors of neuroepithelial origin, 4 patients were taken to surgery. Histology and size were factors that influenced the result. Complete resection is the standard of care; adjuvant radiotherapy is useful.