Mature mediastinal teratoma with somatic type malignancy including neuroblastoma and intestinal type of adenocarcinoma: A Case Report
| Autor: | Marek Jasinski, Roman Przybylski, Kinga Kosiorowska, Maciej Bochenek, Maciej Rachwalik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
endocrine system endocrine system diseases medicine.medical_treatment Horner syndrome Case Report Adenocarcinoma Malignancy urologic and male genital diseases Asymptomatic 03 medical and health sciences Neuroblastoma 0302 clinical medicine medicine Back pain neoplasms business.industry medicine.disease female genital diseases and pregnancy complications Thymectomy Mediastinal tumour Mediastinal teratoma 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Radiology Teratoma medicine.symptom Headaches business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Mediastinal tumours may cause non-specific symptoms, associated with tumour growth. • Mediastinal teratoma is uncommon finding and most often present in young adults. • Total surgical excision is the treatment of choice for mediastinal teratoma. • Imaging study appears to be a sufficient tool to diagnose mediastinal teratoma. Introduction and importance The majority of mediastinal tumours develop asymptomatically and are often detected incidentally on a chest X-ray performed for another reason. Mediastinal tumours, although mostly asymptomatic, may cause non-specific symptoms associated with advanced tumour growth. Case presentation We present a case of a 30-year-old woman who presented with exhaustion and lower back pain accompanied by severe headaches with symptoms of visual disturbances, followed by the typical Horner syndrome. Computed tomography revealed a tumour measuring 12 × 11 × 10 cm in the right cavity with features suggestive of teratoma. The patient underwent mediastinal tumour resection and thymectomy. The pathomorphological examination confirmed the primary diagnosis of mediastinal teratoma, but rare somatic type malignancy was detected. Therefore, the patient was referred for further oncological treatment. Discussion Mediastinal teratoma is an uncommon finding and usually asymptomatic. Despite its slow growth, it can grow enough to compress adjacent structures, causing symptoms similar to those presented in our patient. Conclusion Radiologic imaging proves diagnostic in most cases. Despite the somatic type malignancy, surgical excision of the tumour using the en-bloc technique seems to be a sufficient option for the patient, and further oncological treatment is not always obligatory. |
| Databáze: | OpenAIRE |
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