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. 2020 Jun 1;8(10):2073-2075.
doi: 10.1002/ccr3.3014. eCollection 2020 Oct.

Unexpected diagnosis following screening breast ultrasound

Federico Cammertoni  1 , Piergiorgio Bruno  1 , Natalia Pavone  1 , Piero Farina  1 , Christian Colizzi  1 , Antonella Coli  2 , Massimo Massetti  1
Affiliations

Unexpected diagnosis following screening breast ultrasound

Federico Cammertoni et al. Clin Case Rep. .

Abstract

Any instrumental examination may lead to unexpected diagnosis that in turn can radically change the clinical pathway of a patient.

Keywords: cardiothoracic surgery; cardiovascular disorders; mediastinum; teratoma.

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Conflict of interest statement

Authors have no conflict of interest to disclose.

Figures

FIGURE 1
FIGURE 1
Chest computed tomography scan (A) and magnetic resonance imaging (B) showing the structure and the anatomical relations of the mediastinal mass (white pointers). In particular, the ascending aorta (*) and the superior vena cava (**) surround the posterior and medial margins of the mass. Transesophageal echocardiogram (C, D) confirms the strict adherence of the mass (arrows) to the superior vena cava (SVC), right atrium (ATRIO DX), and ascending aorta (ASC AO)
FIGURE 2
FIGURE 2
Intraoperative outer (A) and inner (B) view of the cystic, multiloculated mass. See text for details
FIGURE 3
FIGURE 3
Histological analysis of the cystic teratoma. The cysts were lined by stratified or columnar ciliated epithelium (arrow) and other components as neural and fibrous tissue and nests of cartilage were found (inlet)
See this image and copyright information in PMC

References

    1. Mustafa OM, Mohammed SF, Aljubran A, Saleh WN. Immature mediastinal teratoma with unusual histopathology: a case report of multi‐lineage, somatic‐type malignant transformation and a review of the literature. Medicine (Baltimore). 2016;95(26):e3378. - PMC - PubMed
    1. Motzer RJ, Amsterdam A, Prieto V, et al. Teratoma with malignant transformation: diverse malignant histologies arising in men with germ cell tumors. J Urol. 1998;159:133‐138. - PubMed

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