Mediastinal Benign Mature Teratoma in Young Girl, Catastrophic Delayed and Complications of Surgery: A Case Report
DOI:
https://doi.org/10.3889/oamjms.2020.3363Keywords:
Mediastinum, Teratoma, Resection, ComplicationsAbstract
BACKGROUND: Teratomas are the most common of germ cell tumor and have different epidemiology, histology, and biology than the others. These tumors occur equally in men and women are generally benign, occur in the mediastinum and compromise approximately 20% of anterior mediastinal masses. All forms of these tumors have a peak incidence in young adults.
CASE REPORT: A huge mediastinal teratoma present in young girl 15 years old, a tumor located in the right chest with mass compression effect to spine, heart, and lung, produce prolong symptoms of dyspnea and chest pain. Delayed clinical presentation influences to post-operative complications such as prolong atelectasis, rupture of tumor mass which spoiled of tumor contents, empyema, and sepsis.
CONCLUSION: Mediastinal mature teratoma with the delayed clinical presentation will give technical difficulties for resection and increase the risk of post-operative complications.
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Plantmason L, Lui N, Theodore P. Mediastinal disease. In: Yuh DD, Vricella LA, Yang SC, Doty JR, editors. Johns Hopkins Textbook of Cardiothoracic Surgery. 2nd ed. New York: McGraw-Hill; 2014. p. 229-41.
Dhond AP, Agrawal SO, Sirmukaddam SV, Srinath S, Roplekar P, Desai PR. Mediastinal teratoma: A case report with review of literature. J Sci Soc. 2016;43:57-9. https://doi.org/10.4103/0974-5009.175469
Agarwal G, Kar DK. Teratoma of the anterior mediastinum presenting as a cystic neck mass: A case report. J Med Case Rep. 2008;2:23. https://doi.org/10.1186/1752-1947-2-23 PMid:18221571
Moeller KH, Rosado-de-Christenson ML, Templeton PA. Mediastinal mature teratoma: Imaging feature. AJR Am J Roentgenol. 1997;169(4):985-90. https://doi.org/10.2214/ajr.169.4.9308448 PMid:9308448
Srivastava P, Srivastava MK, Srivastava S, Roshan S. Excision of benign mature anterior mediastinal teratoma through trapdoor incision: A case report with review of literature. Arch Int Surg. 2015;5:213-6. https://doi.org/10.4103/2278-9596.174667
Sandoval JA, Malkas LH, Hickey RJ. Clinical significance of serum biomarkers in pediatric solid mediastinal and abdominal tumors. Int J Mol Sci. 2012;13(1):1126-53. https://doi.org/10.3390/ijms13011126 PMid:22312308
Tian Z, Liu H, Li S, Chen Y, Ma D, Han Z, et al. Surgical treatment of benign mediastinal teratoma: Summary of experience of 108 cases. J Cardiothorac Surg. 2020;15:36. https://doi.org/10.1186/s13019-020-1075-8 PMid:32066478
No TH, Seol SH, Seo GW, Kim DI, Yang SY, Jeong CH, et al. Benign mature teratoma in anterior mediastinum. J Clin Med Res. 2015;7(9):726-8. https://doi.org/10.14740/jocmr2270w PMid:26251691
de Hoyos A, Sundaresan RS. Resection of mediastinal teratoma. Oper Tech Thorac Cardiovasc Surg. 2001;6:209-20. https://doi.org/10.1053/otct.2001.31302
Squeff FA, Gerace ES, Saad R Jr., Botter M, Gonçalves R, Paes JF. Mediastinal teratoma with malignant degeneration case report. J Bras Pneumol. 2008;34:631-4. https://doi.org/10.1590/s1806-37132008000800015 PMid:18797750
Pham LH, Trinh DK, Nguyen AV, Nguyen LS, Le DT, Nguyen DH. Thoracoscopic surgery approach to mediastinal mature teratomas: A single center Experience. J Cardiothorac Surg. 2020;15(1):35. https://doi.org/10.1186/s13019-020-1076-7 PMid:32051013
Zhao H, Zhu D, Zhou Q. Complete resection of a giant mediastinal teratoma occupying the entire right hemithorax in a 14-year-old boy. BMC Surg. 2014;14:56. https://doi.org/10.1186/1471-2482-14-56 PMid:25151139
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Copyright (c) 2020 Ketut Putu Yasa, A.A. Christ Tedy Permana, Sri Mahendra Dewi (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0
