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Aetiology

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The most common cause is lymph node metastases from primary bronchial carcinoma.

Other causes include:

  • lymphadenopathy due to lymphoma
  • thymoma
  • mediastinal tumour
  • retrosternal goitre
  • mediastinal fibrosis
  • thoracic aortic aneurysm

In children the most important causes are:

  • T cell leukaemia
  • lymphoma

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