Complete resection of a giant mediastinal teratoma occupying the entire right hemithorax in a 14-year-old boy

BMC Surgery

Case Report

Qinghua Zhou¹  Honglin Zhao¹  Daxing Zhu¹ 

[1] Department of Lung Cancer Surgery, General Hospital, Tianjin Medical University, No. 154, Anshan Road, Heping District, 300052, Tianjin, China;

关键词: Teratoma;    Germ Cell Tumor;    Superior Vena Cava;    Wedge Resection;    Mediastinal Tumor;   

DOI  :  10.1186/1471-2482-14-56

 received in 2014-04-07, accepted in 2014-08-19,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundMature teratomas are the most common histological type of germ cell tumors.Case PresentationA 14-year-old boy was referred to our hospital with a giant mature teratoma occupying the entire right hemithorax compressed the superior vena cava (SVC) and total atelectasis of the right lung. He was misdiagnosed as malignant teratoma by a fine-needle biopsy in a hospital. After 4-cycle of chemotherapy without effect, he underwent an unsuccessful exploratory thoracotomy. Venous conduit bypass between the right jugular vein and right femoral vein was established in the operating room for superior vena cava (SVC) replacement if needed. En bloc resection of the huge tumor, wedge resection of the dense adhesions of the right lung and partial pericardectomy were successfully performed, and lung function was recovered.ConclusionTo the best of our knowledge, this is the first report of complete resection of the teratoma occupying the whole right hemithorax combined with wedge resection of the right upper, middle and lower lobes and partial resection of the pericardium.

【 授权许可】

Unknown   
© Zhao et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.