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J Clin Diagn Res. 2017 Aug;11(8):XD03-XD04. doi: 10.7860/JCDR/2017/28238.10438. Epub 2017 Aug 01.

Mediastinal Teratoma with Pulmonary Parenchyma Fistula: A Rare Diagnostic Endeavour.

Journal of clinical and diagnostic research : JCDR

Dharma Ram, Deepak Kumar Sharma, L M Darlong, Suhas K Rajappa, Yogendra Singh Bhakuni

Affiliations

  1. Attending Consultant, Department of Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Center, New Delhi, India.
  2. Senior Resident, Department of Thoracic Oncology, Rajiv Gandhi Cancer Institute and Research Center, New Delhi, India.
  3. Senior Consultant, Department of Thoracic Oncology, Rajiv Gandhi Cancer Institute and Research Center, New Delhi, India.
  4. DNB Resident, Department of Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Center, New Delhi, India.

PMID: 28969259 PMCID: PMC5620900 DOI: 10.7860/JCDR/2017/28238.10438

Abstract

Teratoma is the most frequent mediastinal germ cell tumour amongst young population. They are often detected due to pressure symptoms or as an incidental finding on chest X-ray done for any other reason. Mediastinal teratoma is usually benign and rarely possesses diagnostic or therapeutic challenge unless they rupture into surrounding viscera. In such scenario, they may lead to acute life threatening condition and need prompt diagnosis and surgical extirpation. Here, we are reporting our experience of managing a young lady, who presented with short duration breathing difficulty and cough, and was diagnosed with ruptured mediastinal teratoma on imaging, which was further confirmed intraoperatively and histopathologically.

Keywords: Extirpation; Mass; Pulmonary fistula; Ruptured

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