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  • Title: Mediastinal teratoma with coexisting parenchymal pulmonary cystic lesion.
    Author: Maillart JF, Lacroix V, Camboni A, Poncelet AJ.
    Journal: Ann Thorac Surg; 2013 Sep; 96(3):1081-3. PubMed ID: 23992708.
    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.
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