title: Mediastinal teratoma with coexisting parenchymal pulmonary cystic lesion.
abstract: A double-located mediastinal and intrapulmonary cystic teratoma is a rare condition to be considered by thoracic surgeons. Clinical or radiologic diagnosis of a ruptured mediastinal teratoma into adjacent structures may be highly suggestive. An atypical presentation may indicate cautiousness for complete surgical excision. We report the case of a 14-year-old girl presenting with chronic chest pain. The radiologic work-up showed a large cystic mediastinal tumor and a heterogeneous intrapulmonary left upper-lobe lesion. We discuss the radiologic differential diagnosis of this atypical double-located thoracic tumor and the surgical strategy for complete excision.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Cliniques Universitaires Saint Luc, Université catholique de Louvain, Bruxelles, Belgium. jf.maillart@gmail.com
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Maillart
authors.forename: Valérie
authors.initials: V
authors.lastname: Lacroix
authors.forename: Alessandra
authors.initials: A
authors.lastname: Camboni
authors.forename: Alain Jean
authors.initials: AJ
authors.lastname: Poncelet
mesh_terms: D000293:Adolescent; D001707:Biopsy, Needle; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008175:Lung Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008476:Mediastinal Cyst / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008479:Mediastinal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D018570:Risk Assessment; D056346:Sternotomy / Q000379:methods; D013724:Teratoma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D019616:Thoracic Surgical Procedures / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: 11; 13