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Perikarda Yapışık Mediastinal Teratomun Cerrahi Olarak Çıkartılması

Year 2018, Volume: 12 Issue: 1, 51 - 53, 01.04.2018

Abstract

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.

References

  • Bhatt GC, Nandan D, Sen A, Kanaujia P. Fever of unknown origin: A case of post obstructive pneumonia complicating mature teratoma. Ann Med Health Sci Res 2013;3:461-3.
  • Moeller KH, Rosado-de-Christenson ML, Templeton PA. Mediastinal mature teratoma: Imaging features. AJR Am J Roentgenol 1997;169:985-90.
  • No TH, Seol SH, Seo GW, Kim DI, Yang SY, Jeong CH, et al. Benign mature teratoma in anterior mediastinum. J Clin Med Res 2015;7:726.
  • Dar RA, Mushtaque M, Wani SH, Malik RA. Giant intrapulmonary teratoma: A rare case. Case Rep Pulmonol 2011;2011:1-3.
  • Fuenmayor-M CE, García-R M, Gómez D, Quintiliani-Gamboa M, Altamiranda C. Mediastinal cystic teratoma. Review of two cases. Invest Clin 2007;48:509-14.
  • Yokoyama Y, Chen F, Date H. Surgical resection of a giant mediastinal teratoma occupying the entire left hemithorax. Gen Thorac Cardiovasc Surg 2014;62:255-7. Figure 3: A) The thoracic mass adherent to

Surgical Resection of a Mediastinal Teratoma Adherent to the Pericardium

Year 2018, Volume: 12 Issue: 1, 51 - 53, 01.04.2018

Abstract

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

References

  • Bhatt GC, Nandan D, Sen A, Kanaujia P. Fever of unknown origin: A case of post obstructive pneumonia complicating mature teratoma. Ann Med Health Sci Res 2013;3:461-3.
  • Moeller KH, Rosado-de-Christenson ML, Templeton PA. Mediastinal mature teratoma: Imaging features. AJR Am J Roentgenol 1997;169:985-90.
  • No TH, Seol SH, Seo GW, Kim DI, Yang SY, Jeong CH, et al. Benign mature teratoma in anterior mediastinum. J Clin Med Res 2015;7:726.
  • Dar RA, Mushtaque M, Wani SH, Malik RA. Giant intrapulmonary teratoma: A rare case. Case Rep Pulmonol 2011;2011:1-3.
  • Fuenmayor-M CE, García-R M, Gómez D, Quintiliani-Gamboa M, Altamiranda C. Mediastinal cystic teratoma. Review of two cases. Invest Clin 2007;48:509-14.
  • Yokoyama Y, Chen F, Date H. Surgical resection of a giant mediastinal teratoma occupying the entire left hemithorax. Gen Thorac Cardiovasc Surg 2014;62:255-7. Figure 3: A) The thoracic mass adherent to
There are 6 citations in total.

Details

Other ID JA94KN96RE
Journal Section Case Report
Authors

Nil Yaşam Taştekin This is me

Ergun Ergün This is me

Ufuk Ateş This is me

Gülnur Göllü This is me

Hüseyin Dindar This is me

Publication Date April 1, 2018
Submission Date April 1, 2018
Published in Issue Year 2018 Volume: 12 Issue: 1

Cite

Vancouver Taştekin NY, Ergün E, Ateş U, Göllü G, Dindar H. Surgical Resection of a Mediastinal Teratoma Adherent to the Pericardium. Türkiye Çocuk Hast Derg. 2018;12(1):51-3.


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