Mature teratoma of the thymus, random diagnosis in patient with ebrieta
MUDr. Zdeněk Chovanec, Ph.D.1; MUDr. Alena Berková, Ph.D.1; MUDr. Vladimír Červeňák2; MUDr. Tomáš Hanslík1; MUDr. Adam Peštál, Ph.D.1; MUDr. Vadym Prudius, Ph.D.1; prof. MUDr. Ivan Čapov, CSc.1
1 I. chirurgická klinika LF MU a FN U sv. Anny, Brno
2 Klinika zobrazovacích metod LF MU a FN U sv. Anny, Brno
The case report presents the case of the 23-year-old, an asthmatic man, being investigated for sudden shortness of breath, non-traumatic pain in the left shoulder and back after abuse alcohol. On the X-ray there was dilated mediastinum to the left side and in CT of chest was 4 * 5 * 5 cm size infiltration of anterior mediastinum. A pulmonary examination and fine needle biopsy were performed during the first hospitalization. In differential diagnosis was from low grade myofibroblastic sarcoma to mediastinal teratoma. It was indicated surgery revision. Procedure start uncomplicated diagnostic videothoracoscopy with frozen section and continuing to sternotomy extended to anterior left thoracotomy with extirpation on the mediastinal infiltration. Definitive histology confirms mature teratoma of the thymus.
thymus, mediastinum, germinal cell tumors, teratoma
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