Mediastinal teratomlar çocuklarda tüm germ hücreli tümörler içinde % 4.3 oranında görülen, germ hücreli tümörlerin ender bir tipidir. Mediastinal tümörleri olan hastaların çoğunda herhangi bir semptom görülmez (%53) ve kitle genellikle rutin akciğer grafileri sırasında tesadüfen saptanır. Literatürde mediastinal teratomların tedavisinde cerrahi eksizyonun sonuçları tartışmalıdır. Çalışmada, sık tekrarlayan üst solunum yolu enfeksiyonları ile bulgu veren, perikardiyuma yapışık benign matür teratom tanısı alan bir yaşındaki erkek çocuğun sunulması planlandı. Teratom cerrahi olarak eksize edildi. Sonuç olarak, akciğer grafisinde mediastinumda kitle ya da opasite görülen hastaların ayırıcı tanısında anterior mediastinum yerleşimli teratomlar akılda bulundurulmalıdır. Mediastinal teratomlar genellikle benign ve total rezeksiyona iyi yanıt verirler. Torakotomi uygun cerrahi yaklaşımlardan biridir.
Mediastinal teratomas, a rare form of germ cell tumors in children, account for only 4.3% of all germ cell tumors. In most cases, patients with mediastinum tumors have no symptoms (53%), and their masses are frequently diagnosed incidentally on routine chest radiography. In the literature, the outcomes of surgical excision for the treatment of mediastinal teratomas and the results are inconclusive. We present a one-year old male child who experienced recurrent upper respiratory tract infections and was diagnosed with a benign mature teratoma adherent to the pericardium. The child underwent surgical excision. In conclusion, mediastinal teratomas located in the anterior mediastinum should be kept in mind in the differential diagnosis in children whose chest x-rays reveal a mass or unspecific opacity in the mediastinum. These are usually benign with a good response to total resection. Thoracotomy is one of the appropriate surgical approaches
Other ID | JA94KN96RE |
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Journal Section | Case Report |
Authors | |
Publication Date | April 1, 2018 |
Submission Date | April 1, 2018 |
Published in Issue | Year 2018 Volume: 12 Issue: 1 |
The publication language of Turkish Journal of Pediatric Disease is English.
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