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Case Reports
. 2017 Dec 18:23:77-79.
doi: 10.1016/j.rmcr.2017.12.006. eCollection 2018.

Teratoma as unusual cause of chest pain, hemoptysis and dyspnea in a young patient

Irena Hammen  1 , Achhe Lal Yadav  1
Affiliations
Case Reports

Teratoma as unusual cause of chest pain, hemoptysis and dyspnea in a young patient

Irena Hammen et al. Respir Med Case Rep. .

Abstract

A 16-year-old girl presented with intermittent left chest pain and breathlessness on exertion for last 4 months with one episode of haemoptysis. There has been loss of appetite and weight loss of 4 kg over a period of 1 month. A chest radiograph revealed a large mass like opacity with pleural effusion in the left lung field. Computerized Tomography scanning (CT scanning) and Positron Emission Tomography/Computerized Tomography scanning (PET/CT scanning) demonstrated a 7 cm round, cystic lesion in the anterior mediastinum. Pleural fluid cytology did not show any malignant cell. The patient was referred to cardiothoracic department for thoracotomy and resection. Surgery was uncomplicated with rapid recovery. Histologic findings suggested mature teratoma components surrounded by oedematous pleura and pericardium with adjacent thymus and lung tissue.

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Figures

Fig. 1
Fig. 1
A chest X-Ray showed infiltrative changes on left lower lung and pleural effusion with suspicion for tumor.
Fig. 2
Fig. 2
A CT scan of chest and abdomen revealing a 7 cm round, cystic lesion consisting of fat tissue and calcification in the anterior mediastinum, pleural effusion and atelactatic changes in left lung, an enlarged lymph node of 1.0 cm close to arcus aorta.
Fig. 3
Fig. 3
A PET/CT scanning showing a cystic process in the anterior mediastinum left side, with increased FDG uptake.
See this image and copyright information in PMC

References

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