MEDİASTİNAL İMMATÜR TERATOM: OLGU SUNUMU

Mediasten tümörlerinin büyük bölümü benign olsa da ön kompartmandaki kitlelerin malign olma olasılığı daha fazladır. Kırkdokuz yaşında erkek hasta göğüs ağrısı yakınmasıyla başvurdu. Toraks bilgisayarlı tomografisinde ön mediasteni dolduran, içinde nekroz alanları ve kalsifikasyon içeren kitle lezyonu izlendi. Tanı ve tedavi amaçlı torakotomide çevre dokulara invazyonu nedeniyle unrezektabl immatür teratom teşhis edildi. Dört yıllık takip sonrasında kitle lezyonunun regrese olduğu ve belirgin bir semptom olmadan sebat ettiği görüldü.

MEDIASTINAL IMMATURE TERATOMA: CASE REPORT

Allthough major part of the mediastinal tumors are benign, masses those localized on anterior compartment have higher possibility to be malignant. A 49 yearsold man admitted to hospital with chest pain. A mass was detected in thorax computed tomography, that filling anterior mediastinum and containing necrotic fields and calcification. Unresectable immature teratoma was diagnosed with its invasion to surrounding tissues in thoracotomy that was performed for diagnosis and treatment. After a four year follow-up, it was seen that mass lesion showed a regression and was still present without any symptom.

___

  • Moran CA, Suster S. Primary germ cell tumors of the mediastinum: I. Analysis of 322 cases with special emphasis on teratomatous lesions and a proposal for histopathologic classification and clinical staging. Cancer 1997; 80: 681-90. 1997: 651-64.
  • Polat G, Usluer O, Polat SK, Gürsoy S, Baflok O, Ermete S. Mediastinal disgerminom (Olgu sunumu). İzmir Göğüs Hastanesi Dergisi 2004; 18: 45-8.
  • Carter C, Bibro MC, Touloukian RJ. Benign clinical behaviour of immature mediastinal teratoma in infancy and childhood. Cancer 1982; 49: 398-402.
  • Davis RD, Oldham NH, Sabiston DC. Primary cysts and neoplasms of the mediastinum: recent changes in clinical presentation, methods of diagnosis, management and results. Ann Thorac Surg 1987; 44: 229-37.
  • Lillington GA. Mediastinal lesions. In: A Diagnostic Approach To Chest Diseases. 3rd ed. Williams and Wilkins, 1988: 396.
  • Silverman NA, Sabiston DC. Mediastinal masses. Surg Clin North AM 1980; 60: 757-77. Yazıflma Adresi:
  • Dr. Ahmet Emin ERBAYCU
  • İzmir Göğüs Hastalıkları ve Cerrahisi,
  • Eğitim ve Arafltırma Hastanesi,
  • Yeniflehir/İZMİR
  • Tel: 433 33 33 / 363
  • E-mail: drerbaycu@yahoo.com