Teratoma presenting as an unilateral mediastinal mass with contralateral pleural effusion

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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.

Original languageEnglish
Pages (from-to)347-352
Number of pages6
JournalTuberculosis and Respiratory Diseases
Volume60
Issue number3
Publication statusPublished - 2006 Mar 1

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Keywords

  • Mediastinal neoplasms
  • Teratoma pleural effusion

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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