Okuma Hiromichi, Tane Shinya, Uchida Takahiro, Okuda Yusuke, Shimizu Nahoko, Ogawa Hiroyuki, Hokka Daisuke, Tanaka Yugo, Maniwa Yoshimasa
Department of General Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Kyobu Geka. 2015 Jul;68(7):546-9.
The mediastinal mature teratoma is uncommon in adult and sometimes ruptures. We present a case of perforation of mediastinal mature teratoma. A 22-year-old man, who had been scheduled for surgery to resect anterior mediastinal teratoma, was referred to our hospital due to sudden chest pain. The enhanced computed tomography findings suggested a perforation of the teratoma and the emergency surgery was performed. Extirpation of the tumor with partial resection of right upper lung, pericardium, and superior vena cava was performed. The histological diagnosis was mature teratoma and the defect of the mediastinal pleura was found to be the site of perforation. The patient was well and discharged from the hospital without complications.
纵隔成熟畸胎瘤在成人中并不常见,且有时会破裂。我们报告一例纵隔成熟畸胎瘤穿孔病例。一名22岁男性,原计划行前纵隔畸胎瘤切除术,因突发胸痛被转诊至我院。增强计算机断层扫描结果提示畸胎瘤穿孔,遂行急诊手术。手术切除肿瘤,并部分切除右上肺、心包和上腔静脉。组织学诊断为成熟畸胎瘤,发现纵隔胸膜缺损处为穿孔部位。患者恢复良好,无并发症出院。