Levent CANSEVER, Ümit AYDOĞMUŞ, Dilek YILMAZBAYHAN, İbrahim Celalettin KOCATÜRK, Mehmet Ali BEDİRHAN, Nur ÜRER

Matür kistik teratom, ektopik mediastinal pankreas: Olgu sunumu

Göğüs ağrısı yakınması ile kliniğimize başvuran 20 yaşındaki kadın hastanın, akciğer grafilerinde sağ anteriyor mediastende septalı ve konturları düzgün, kalın duvarlı hipodens bir kitle görüldü. Yapılan biyokimyasal, serolojik, mikrobiyolojik incelemeler ve fiberoptik bronkoskopi ile kesin tanı konulamayan hastaya eksploratif torakotomi yapıldı. Ameliyat sırasında sağ anteriyor mediastende 8x10 cm kistik bir lezyon saptandı ve tam olarak rezeke edildi. Piyesin histopatolojik incelemesinde matür kistik teratom tanısı konuldu. Klinik takibinde herhangi bir komplikasyona rastlanmayan hasta taburcu edildi. Pankreas dokusu içeren mediastinal matür teratomlar, oldukça nadir görülen mediasten patolojilerindendir.

Mature cystic teratoma, ectopic mediastinal pancreas: A case report

A 20-year-old woman was admitted to our clinic with chest pain. On plain chest X-ray it was seen that there was a mass in right anterior mediastinum, which was hypodense, cystic, regularly bordered and septated and which had a thick wall. Explorative thoracotomy was performed in this patient in whom the diagnosis could not be established via biochemical, serological, microbiological tests and fiberoptic bronchoscopy. During the operation, a cystic lesion of 8x10 cm was found in the right anterior mediastinum and it was totally resected. Pathological evaluation revealed mature cyctic teratoma. The patient who had no complications during the follow-up period was discharged from hospital. Mediastinal mature teratomas which contain pancreatic tissue is a rarely seen mediastinal pathology.

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