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Mediastinal Mature Teratoma Revealed by Empyema
Teratomas are germ cell tumors, manifested with a great variety of clinical features; the most common extragonadal site is the anterior mediastinum. In this case, we report the patient with a large mature mediastinal teratoma with several components of ectodermal and endothermal epithelium. A 24-yea...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4838797/ https://www.ncbi.nlm.nih.gov/pubmed/27144046 http://dx.doi.org/10.1155/2016/7869476 |
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author | Raoufi, Mohammed Herrak, Laila Benali, Anas Achaachi, Leila El Ftouh, Mustapha Bellarbi, Salma Tilfine, Charaf Taouarsa, Firdaous |
author_facet | Raoufi, Mohammed Herrak, Laila Benali, Anas Achaachi, Leila El Ftouh, Mustapha Bellarbi, Salma Tilfine, Charaf Taouarsa, Firdaous |
author_sort | Raoufi, Mohammed |
collection | PubMed |
description | Teratomas are germ cell tumors, manifested with a great variety of clinical features; the most common extragonadal site is the anterior mediastinum. In this case, we report the patient with a large mature mediastinal teratoma with several components of ectodermal and endothermal epithelium. A 24-year-old female patient presented with history of persistent chest pain and progressively aggravating dyspnea for the previous 3 months. A chest X-ray showed a large opacity of the entire left hemithorax. Transcutaneous needle aspiration revealed a purulent fluid. The tube thoracostomy was introduced and the effusion was evacuated. Some weeks later, patient was seen in emergency for persistent cough and lateral chest pain. CT scan revealed a mass of the left hemithorax. The mass showed heterogeneous density, without compressing mediastinum great vessels and left hilar structures. Lipase value was elevated in needle aspiration. The patient underwent a total resection of the mediastinum mass via a left posterolateral thoracotomy. Microscopy revealed a mature teratoma with cystic structures. The patient subsequently made a full recovery. This case provide benign mediastinal teratoma with total atelectasis of left lung and elevated lipase value in needle transcutaneous aspiration; this event is explained by pancreatic component in the cystic tumor. Total removal of the tumor is adequate treatment for this type of teratoma and the prognosis is excellent. |
format | Online Article Text |
id | pubmed-4838797 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-48387972016-05-03 Mediastinal Mature Teratoma Revealed by Empyema Raoufi, Mohammed Herrak, Laila Benali, Anas Achaachi, Leila El Ftouh, Mustapha Bellarbi, Salma Tilfine, Charaf Taouarsa, Firdaous Case Rep Pulmonol Case Report Teratomas are germ cell tumors, manifested with a great variety of clinical features; the most common extragonadal site is the anterior mediastinum. In this case, we report the patient with a large mature mediastinal teratoma with several components of ectodermal and endothermal epithelium. A 24-year-old female patient presented with history of persistent chest pain and progressively aggravating dyspnea for the previous 3 months. A chest X-ray showed a large opacity of the entire left hemithorax. Transcutaneous needle aspiration revealed a purulent fluid. The tube thoracostomy was introduced and the effusion was evacuated. Some weeks later, patient was seen in emergency for persistent cough and lateral chest pain. CT scan revealed a mass of the left hemithorax. The mass showed heterogeneous density, without compressing mediastinum great vessels and left hilar structures. Lipase value was elevated in needle aspiration. The patient underwent a total resection of the mediastinum mass via a left posterolateral thoracotomy. Microscopy revealed a mature teratoma with cystic structures. The patient subsequently made a full recovery. This case provide benign mediastinal teratoma with total atelectasis of left lung and elevated lipase value in needle transcutaneous aspiration; this event is explained by pancreatic component in the cystic tumor. Total removal of the tumor is adequate treatment for this type of teratoma and the prognosis is excellent. Hindawi Publishing Corporation 2016 2016-04-07 /pmc/articles/PMC4838797/ /pubmed/27144046 http://dx.doi.org/10.1155/2016/7869476 Text en Copyright © 2016 Mohammed Raoufi et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Raoufi, Mohammed Herrak, Laila Benali, Anas Achaachi, Leila El Ftouh, Mustapha Bellarbi, Salma Tilfine, Charaf Taouarsa, Firdaous Mediastinal Mature Teratoma Revealed by Empyema |
title | Mediastinal Mature Teratoma Revealed by Empyema |
title_full | Mediastinal Mature Teratoma Revealed by Empyema |
title_fullStr | Mediastinal Mature Teratoma Revealed by Empyema |
title_full_unstemmed | Mediastinal Mature Teratoma Revealed by Empyema |
title_short | Mediastinal Mature Teratoma Revealed by Empyema |
title_sort | mediastinal mature teratoma revealed by empyema |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4838797/ https://www.ncbi.nlm.nih.gov/pubmed/27144046 http://dx.doi.org/10.1155/2016/7869476 |
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