Irfan MOHAMAD, Choo Choon SEAN, Ooi Cheng TİAN, Ahmad Zuhdi MAMAT

Olgun Mediastinal Kistik Teratoma Tipinde Sağlıklı Genç Bir Adamda Anterior Boyun şişmesi

Sağlıklı bir genç erişkinde, ön boyun kitlesinin çeşitli nedenleri olabilir; daha yaygın olarak orijinleri branşial kist, tiroglossal kanal kistleri veya tiroid bezi olabilir. Teratoma, timoma veya timik kist gibi anterior mediastinal kitlenin servikal ekstansiyonu nadir olmakla birlikte, göz önünde bulundurulmalıdır. Ayırıcı tanı; klinik olgulara ve bazen de akciğer grafisi, ultrasonografi ve bilgisayarlı tomografi gibi spesifik görüntüleme yöntemlerine dayalı olarak daraltılır. İlk olarak, anterior mediasten içine retrosternal uzayan anterior boyun apsesi olarak başlanan 19 yaşında bir erkek hastayı sunduk. Anterior mediastinal teratomun daha sonra infeksiyona uğramış bir servikal kistik ekstansiyon olduğunu keşfettik. Kardiyotorasik ekibin başvurusu yapıldı ve teratomun eksizyonu sorunsuz yapıldı.

Anterior Neck Swelling in a Healthy Young Man as the Tip of the Mature Mediastinal Cystic Teratoma

In a healthy young adult, an anterior neck mass can be derived from largevariety of entity, more commonly being branchial cyst, thyroglossal duct cystsor thyroid gland in origin. Cervical extension of anterior mediastinal mass suchas teratoma, thymoma or thymic cyst are uncommon but it needs to be takeninto account. Differential diagnoses are narrowed down based on acomprehensive information of clinical presentations and sometimes with aidsof specific imaging such as conventional chest radiography, ultrasonographyand computed tomography. We report a 19-year-old man who was initiallymanaged as an anterior neck abscess with retrosternal extension of thecollection into anterior mediastinum, which was later found out to be aninfected cervical cystic extension of an anterior mediastinal teratoma. Referralto cardiothoracic team was made and excision of the teratoma was madeuneventfully.

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