A rare Presentation of Cephalad Extension of An Anterior Mediastinal Teratoma - a Case Report. | [Journal of Pakistan Medical Association • 2019]

Author(s):

1. Aaishah Riaz: General Surgery Department, Pakistan Institute of Medical Sciences Islamabad Pakistan

2. Tashfeen Imtiaz: General Surgery Department, Pakistan Institute of Medical Sciences Islamabad, Pakistan

3. Aatif Inam: General Surgery Department, Pakistan Institute of Medical Sciences Islamabad Pakistan

4. Zafar Iqbal Malik: General Surgery Department, Pakistan Institute of Medical Sciences Islamabad Pakistan

5. Muhammad Burhan-ul-Haq: General Surgery Department, Pakistan Institute of Medical Sciences Islamabad Pakistan

6. Madeeha Hassan: Pakistan Institute of Medical Sciences Islamabad Pakistan

Abstract:

We report a case of a 28 year old female who presented to us in November 2016 with a swelling in front of neck for three years and worsening shortness of breath for last one year, causing right sided tracheal deviation and mild Superior Vena Caval obstruction. X-ray showed a soft tissue density mass in antero-superior mediastinum with cephalad extension. Contrast enhanced CT neck and chest revealed a multi cystic lesion extending from the root of neck to anterior mediastinum causing compression and deviation of trachea, and nearby structures especially Superior Vena Cava (SVC) along with collateral formation. Mass was surgically excised from the neck and mediastinum with uneventful post-operative recovery. Histopathology was consistent with benign mature cystic teratoma. Although primarily found in gonads, the most common extra-gonadal site of Germ Cell Tumour(GCT) is the mediastinum constitute 10-15% of anterior mediastinal masses.3 Mature cystic teratomas are the most common among mediastinal GCT's. They usually have a long asymptomatic course and represent 60-70% of all GCTs occurring in mediastinum.4 Anterior mediastinal teratomas are rare, slow growing, usually 1/3 of patients are asymptomatic,4 diagnosed incidentally by chest radiographs.2 We report an unusual case of anterior mediastinal teratoma in a young lady disguised as a neck swelling with significant tracheal compression and mild SVC obstruction syndrome. Trachea was not palpable in the suprasternal notch. Rest of the chest examination was unremarkable.

Page(s): 902-904

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 69, Issue: 6, Year: 2019

Keywords:

Mediastinal neoplasms

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views