Division of General Thoracic Surgery, National Hospital Organization, Ibarakihigashi National Hospital, 825 Terunuma, Tokai-mura, Naka-gun, Ibaraki 319-1113, Japan.
World J Surg Oncol. 2014 Oct 23;12:321. doi: 10.1186/1477-7819-12-321.
Perforated cystic teratomas are rare. Our patient was a 16-year-old female who presented with severe chest pain two years ago. A right-sided pleural effusion was accidentally detected by chest radiography performed at her school. Computed tomography revealed a high density area with multiple small, thickened, lobulated lesions and a low density area with pleural effusion adjacent to a thinned wall. Pathognomonic inhomogeneous computed tomography findings led to an accurate diagnosis of a mature teratoma that had ruptured long before presentation. Thoracoscopic resection was performed, and the final histological diagnosis was a mature teratoma with partial rupture.
囊性畸胎瘤穿孔是罕见的。我们的患者是一名 16 岁女性，两年前出现严重胸痛。在她就读的学校进行胸部 X 线检查时意外发现右侧胸腔积液。计算机断层扫描显示高密度区域有多个小而增厚的叶状病变，以及与薄壁相邻的胸腔积液的低密度区域。特有的不均匀计算机断层扫描结果导致了对成熟畸胎瘤的准确诊断，该畸胎瘤早在就诊前就已经破裂。进行了胸腔镜切除术，最终组织学诊断为部分破裂的成熟畸胎瘤。
