A unique case of a giant anterior mediastinal teratoma extending into right hemithorax in an adult male: a case report

T. M. Jyoshna; Sachin Marda; Sreehari Gowda; Praneeth Aregala

doi:10.18203/2349-2902.isj20252303

Authors

T. M. Jyoshna Department of Surgical Oncology, Yashoda Hospitals, Somajiguda, Hyderabad, Telangana, India
Sachin Marda Department of Surgical Oncology, Yashoda Hospitals, Somajiguda, Hyderabad, Telangana, India
Sreehari Gowda Department of Surgical Oncology, Yashoda Hospitals, Somajiguda, Hyderabad, Telangana, India
Praneeth Aregala Department of Surgical Oncology, Yashoda Hospitals, Somajiguda, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/2349-2902.isj20252303

Keywords:

Anterior mediastinal mass, Germ cell tumours, Mature cystic teratoma, Extra gonadal tumours, Diagnosis, Management

Abstract

Teratomas are unusual, benign germ cell tumours. Teratomas most frequently are located in the anterior mediastinum as extra-gonadal location. Early detection and timely surgical intervention can symptomatically improve the patient. We hereby describe the case of a, male patient aged 21 years who had dyspnoea and a prolonged productive cough for 2 months. A large, well-circumscribed mass in anterior mediastinum associated with calcifications was discovered during imaging studies, which included a chest CT scan with contrast and a chest X-ray of size 22×10×8 cm. The patient underwent right thoracotomy with resection of mediastinal tumour, and the diagnosis was validated by histopathological analysis. The patient recovered without complications and was discharged in a stable state. Because of their varied imaging features and vague symptoms, mediastinal mature cystic teratomas are difficult to diagnose. The best line of management is surgical excision.

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