J Lung Cancer.  2009 Jun;8(1):31-33. 10.6058/jlc.2009.8.1.31.

Lung Cancer Along with a Mediastinal Mature Cystic Teratoma: A Case Report

Affiliations
  • 1Department of Chest Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. csdoctor@schca.ac.kr
  • 2Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
  • 3Department of Anatomic Pathology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.

Abstract

A mediastinal mass and 2 lung masses on the lower lobes were detected by chest CT in a 44-year old woman. The mass on the left lower lobe was diagnosed as an adeno type of cancer by preoperative lung biopsy. But the preoperative lung biopsy exam for the mass on the right lower lobe couldn't perform because of patient's noncooperation. Removal of the mediastinal mass, left lower pulmonary lobectomy and wedge resection of the right lower pulmonary lobe were done. The histopathologic diagnosis of the resected mediastinal mass was mature cystic teratoma and both lung masses were the adeno type of cancer with the same histopathologic patterns. We experienced a rare case of lung adeno cancer together with mediastinal mature cystic teratoma.

Keyword

Mediastinal mass; Teratoma; Mature cystic teratoma; Lung neoplasms

MeSH Terms

Biopsy
Female
Humans
Lung
Lung Neoplasms
Teratoma
Thorax

Figure

  • Fig. 1. Chest X-ray showing the superior mediastinal mass.

  • Fig. 2. Chest CT showing the mediastinal mass (A, white arrow), the left lung mass (B, black arrow) and the right lung mass (C, black arrow).

  • Fig. 3. Picture showing the resected mediastinal mass with sebum (A) and the cavitary mass on the left lower lobe of the lung (B, arrow).


Reference

References

1. Golash V. A giant anterior mediastinal teratoma presenting as orthopnea and dysphagia in an adult. J Thorac Cardiovasc Surg. 2005; 130:612–613.
Article
2. Lewis BD, Hurt RD, Payne WS, Farrow GM, Knapp RH, Muhm JR. Benign teratomas of the mediastinum. J Thorac Cardiovasc Surg. 1983; 86:727–731.
Article
3. Arai K, Ohta S, Suzuki M, Suzuki H. Primary immature mediastinal teratoma in adulthood. Eur J Surg Oncol. 1997; 23:64–67.
Article
4. Nichols CR. Mediastinal germ cell tumors: clinical features and biologic correlates. Chest. 1991; 99:472–479.
5. Jun YB, Sohn ST, Jeon SH, et al. Medistinal teratoma with pleural and pericardial effusion teratoma with pleural and pericardial effusion. Korean J Thorac Cardiovasc Surg. 1998; 31:436–439.
6. Choe JW, Kim YL. Benign mediastinal cystic teratoma complicated by cardiac tamponade due to trauma. Korean J Thorac Cardiovasc Surg. 2006; 39:729–732.
7. Chen C, Zheng H, Jiang S. An unusual case of giant mediastinal teratoma with malignant transformation. Ann Thorac Surg. 2008; 86:302–304.
Article
8. Martini N, Melamed MR. Multiple primary lung cancers. J Thorac Cardiovasc Surg. 1975; 70:606–612.
Article
Full Text Links
  • JLC
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr