Citation, DOI, disclosures and article data
At the time the article was created Shi Hong Shen had no recorded disclosures.View Shi Hong Shen's current disclosures
At the time the article was last revised Craig Hacking had the following disclosures:
- Philips Australia, Paid speaker at Philips Spectral CT events (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.View Craig Hacking's current disclosures
The posterior mediastinum (or paravertebral compartment) is a potential space along the paravertebral sulci. It is conceptually considered a portion of the inferior mediastinum, and separated from the middle mediastinal compartment and the remainder of the extrapleural intrathoracic cavity by arbitrary lines.
- superiorly: superior mediastinum
- anteriorly: anterior and middle mediastinum (which form the other compartments of the inferior mediastinum).
It is continuous with the retropharyngeal space via the posterior part of the superior mediastinum.
- thoracic spine 5
- paraspinal nervous system 6
- thoracic spinal ganglion
- sympathetic trunk and major branches
- rami communicantes of intercostal nerves
- paravertebral soft tissues 5
- proximal intercostal vessels
- distal azygos-hemiazygos venous system 6
- superiorly: thoracic inlet
- inferiorly: diaphragm
- anteriorly: anatomically defined as the posterior pericardium 8 although other definitions describe the anterior border 1 cm posterior to anterior margin of thoracic vertebral bodies 5
- posteriorly: posterior margin of chest wall, along the transverse processes of thoracic vertebrae
- laterally: mediastinal parietal pleura
- wide variety of malignancies, e.g. mesothelioma, lung, neurogenic (e.g. schwannoma), teratoma, lymphoma, sarcoma
- aortic aneurysm
- extramedullary hematopoiesis
- main article: differential for a posterior mediastinal mass
- 1. McMINN. Lasts Anatomy Regional and Applied. CHURCHILL LIVINGSTONE. (2003) ISBN:B0084AQDG8. Read it at Google Books - Find it at Amazon
- 2. Davidescu M1, Motaş N, Bluoss C, Motaş C, Rus O, Horvat T. Neurogenic tumors of the posterior mediastinum. Chirurgia (Bucur). 2011 Mar-Apr;106(2):199-203.
- 3. Kawashima A, Fishman EK, Kuhlman JE et-al. CT of posterior mediastinal masses. Radiographics. 1991;11 (6): 1045-67. doi:10.1148/radiographics.11.6.1749849 - Pubmed citation
- 4. Moore KL, Agur AMR, Dalley AF. Clinically oriented anatomy. LWW. ISBN:1451119453. Read it at Google Books - Find it at Amazon
- 5. Carter BW, Benveniste MF, Madan R, et al. ITMIG Classification of Mediastinal Compartments and Multidisciplinary Approach to Mediastinal Masses. Radiographics. 2017;:160095.
- 6. Shields TW, LoCicero J, Reed CE et al. General Thoracic Surgery. Lippincott Williams & Wilkins; 2009.
- 7. Brett W. Carter, Marcelo F. Benveniste, Rachna Madan, Myrna C. Godoy, Patricia M. de Groot, Mylene T. Truong, Melissa L. Rosado-de-Christenson, Edith M. Marom. ITMIG Classification of Mediastinal Compartments and Multidisciplinary Approach to Mediastinal Masses. (2017) RadioGraphics. 37 (2): 413-436. doi:10.1148/rg.2017160095 - Pubmed
- 8. Susan Standring. Gray's Anatomy. ISBN: 9780702052309