Teratoma Presenting as An Unilateral Mediastinal Mass with Contralateral Pleural Effusion.
10.4046/trd.2006.60.3.347
- Author:
Eun Sil HA
1
;
Gyu Young HUR
;
Ki Hwan JUNG
;
Sung Yong LEE
;
Won Min JO
;
Sang Yeub LEE
;
Je Hyeong KIM
;
Eung Seok LEE
;
Chol SHIN
;
Jae Jeong SHIM
;
Kwang Ho IN
;
Kyung Ho KANG
;
Se Hwa YOO
Author Information
1. Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea. chepraxis@korea.com
- Publication Type:Case Report
- Keywords:
Mediastinal neoplasms Teratoma pleural effusion
- MeSH:
Chest Pain;
Dyspnea;
Hemoptysis;
Humans;
Mediastinum;
Neoplasms, Germ Cell and Embryonal;
Pericardial Effusion;
Pleural Cavity;
Pleural Effusion*;
Pneumonia;
Rupture, Spontaneous;
Shoulder Pain;
Teratoma*
- From:Tuberculosis and Respiratory Diseases
2006;60(3):347-352
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A teratoma is the most common benign germ cell tumor that develops in the mediastinum. Patients with a mediastinal teratoma are usually asymptomatic. However, a spontaneous rupture of a mediastinal teratoma into the pleural cavity or adjacent organs can cause severe chest pain, hemoptysis, acute dyspnea, etc. Complications such as recurrent pneumonia, pericardial effusion, pleural effusion and great vessel invasion can sometimes occur. We encountered a case of a patient with an abrupt onset of dyspnea after persistent shoulder pain for one month. The X-ray examinations revealed a unilateral mediastinal mass with contralateral pleural effusion. Subsequent evaluations confirmed a spontaneous rupture of the teratoma into the contralateral pleural cavity.
