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肺内成熟性肺囊性畸胎瘤:一种罕见实体的病例报告

Intrapulmonary mature cystic teratoma of the lung: case report of a rare entity.

作者信息

Mardani Parviz, Naseri Reyhaneh, Amirian Armin, Shahriarirad Reza, Anbardar Mohammad Hossein, Fouladi Damoun, Ranjbar Keivan

机构信息

Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran.

Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

BMC Surg. 2020 Sep 14;20(1):203. doi: 10.1186/s12893-020-00864-y.

Abstract

BACKGROUND

Intrapulmonary teratoma (IPT) is a rare type of extra gonadal teratoma which often presents with non-specific symptoms and can be misdiagnosed as other diseases. Here we report a patient with IPT which was initially misdiagnosed as lung hydatid cyst versus abscess.

CASE PRESENTATION

We report an intrapulmonary teratoma in a 27-year-old female presenting with persistent chest pain and dyspnea since a few years prior to her admission with associated symptoms of cough and fever. Chest x-ray only showed left side massive pleural effusion and computed tomography scan of the lungs was suggestive of hydatid cyst or a lung abscess. She underwent lobectomy and postoperative histopathological study revealed IPT as the final diagnosis.

CONCLUSION

Due to the non-specific symptoms and rarity, IPT can be easily misdiagnosed at first. It is essential that physicians take into account the possibility of IPT when approaching a new case of lung mass.

摘要

背景

肺内畸胎瘤(IPT)是一种罕见的性腺外畸胎瘤,常表现为非特异性症状,易被误诊为其他疾病。在此,我们报告一例最初被误诊为肺包虫囊肿或肺脓肿的IPT患者。

病例介绍

我们报告一例27岁女性肺内畸胎瘤患者,自入院前数年起持续出现胸痛和呼吸困难,并伴有咳嗽和发热症状。胸部X光仅显示左侧大量胸腔积液,肺部计算机断层扫描提示为包虫囊肿或肺脓肿。她接受了肺叶切除术,术后组织病理学研究最终确诊为IPT。

结论

由于IPT症状非特异性且罕见,起初很容易被误诊。医生在面对新的肺部肿块病例时,考虑IPT的可能性至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20c7/7491125/5d6ac939f28d/12893_2020_864_Fig1_HTML.jpg

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