Object.To study the clinical manifestations

diagnostic methods

surgical management

and prognosis of various neurogenic mediastinal tumors.Method.One hundred and ten cases of neurogenic tumors of mediastinum were reviewed and retro-spectively analyzed.Results.Operative or hospitalization death happened in2cases

complications occurred in8cases

mostly were Horner’s syndrome or recurrent nerve paralysis.During the follow?up

there were2recur-rences in102benign tumors

and4cases of neurofibrosarcoma or malignant neurilemmoma died within3years postoperatively.Conclusion.Most mediastinal neurogenic tumors are benign.It is enough to establish diagnosis by chest X?ray and CT scan.There are different features in the clinical manifestations

diagnosing methods

and surgical management for the dumbbell tumors.Minimal invasive surgery and video?assisted thora-coscopy surgery（VATS）have a special value in treatment of the selected neurogenic mediastinal tumors.Benign neurogenic tumors rarely recur after complete resection

whereas malignant neurogenic tumors have poor prognosis.