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纵隔成熟性囊性畸胎瘤伴胸腔积液:一种罕见的病症。

Mature cystic teratoma of mediastinum with pleural effusion: An uncommon entity.

作者信息

Mandal Gautam, Bhattacharya Somnath, Dey Atin, Kar Saurav, Saha Sayantan

机构信息

Department of Pulmonary Medicine, R. G. Kar Medical College, Kolkata, West Bengal, India.

出版信息

Niger Postgrad Med J. 2016 Jan-Mar;23(1):41-3. doi: 10.4103/1117-1936.180183.

Abstract

Teratomas are tumours composed of tissues originating from at least two of the three primitive germ layers, i.e., ectoderm, mesoderm and endoderm. A dermoid cyst, commonly known as benign cystic teratoma is a histological variant containing epidermis and its derivative (sebaceous material) within a lining of squamous epithelium. Mediastinum is the most common extragonadal site for germ cell tumours including mature teratomas. However, pleural effusion secondary to rupture of benign germ cell tumour is quite a rarity and the nature of pleural effusion in such ruptured cases has not been discussed in detail in literatures. Here, we are presenting a case of mature cystic teratoma coexistent with pleural effusion which is quite an uncommon entity making this case quite an interesting learning curve.

摘要

畸胎瘤是由起源于三个原始胚层(即外胚层、中胚层和内胚层)中至少两个胚层的组织构成的肿瘤。皮样囊肿,通常称为良性囊性畸胎瘤,是一种组织学变体,在鳞状上皮内衬内含有表皮及其衍生物(皮脂物质)。纵隔是包括成熟畸胎瘤在内的生殖细胞肿瘤最常见的性腺外部位。然而,良性生殖细胞肿瘤破裂继发的胸腔积液相当罕见,且文献中尚未对这类破裂病例中胸腔积液的性质进行详细讨论。在此,我们报告一例成熟囊性畸胎瘤合并胸腔积液的病例,这是一种相当罕见的情况,使该病例具有很高的学习价值。

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