A 30-Year-Old Woman With Intermittent Cough and a Mass-Like Opacity in the Right Upper Lobe

Suwatanapongched, Thitiporn; Kiatboonsri, Sumalee; Visessiri, Yingluck; Boonkasem, S

doi:10.1378/chest.10-2292

Cited by 7 publications

(9 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patient was still doing well after 12 months of follow‐up . Suwatanapongched et al reported the intrapulmonary rupture of an MMT that presented with active bleeding during surgery via thoracotomy with a median sternotomy approach due to the tight adherence to the anterior segment of the right upper lobe . Indeed, there are currently no clinical guidelines to adopt a delayed resection strategy of a ruptured MMT.…”

Section: Discussionmentioning

confidence: 99%

“…The second CT image obtained three weeks after the patient’s initial image was taken showed a progressive change into a ruptured lesion. Although several mechanisms of rupture in MMT have been proposed , we speculated that the tumour mass aspiration that was performed could partly have induced the rupture. This leads to another topic that is not further discussed in this literature, which is whether an aspiration should be performed before a teratoma is completely ruled out.…”

Section: Discussionmentioning

confidence: 99%

“…Under chest computed tomography (CT) imaging, a mature teratoma typically appears as a heterogeneous mass with soft tissue content, calcification, cystic fluid, fat, or any of the above combinations . Misdiagnosis of a benign MMT is not unusual, particularly in the ruptured cases, which represent up to 36–41% of all cases . Severe symptoms such as haemoptysis and chest pain are more common in ruptured tumours .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A symptomatic anterior mediastinal mass with a simultaneous Haemophilus influenzae infection

Hee

Chen

Yeh

et al. 2018

Respirology Case Reports

View full text Add to dashboard Cite

Surgical resection remains the treatment of choice for mature mediastinal teratoma, and the operation itself is sometimes complicated or life‐threatening, especially when it ruptures into adjacent vital structures. We describe a rare case of unanticipatedly delayed complete resection of a symptomatic teratoma with simultaneous Haemophilus influenzae infection, followed by extended rupture into the pleural space, lung, and bronchus. The clinical presentation and the microbiological and radiologic features may lead to the impression of a lung abscess until it can be proven otherwise pathologically after an initial thoracic aspiration. Accordingly, surgical intervention through a minimal approach, such as video‐assisted thoracoscopic surgery, might be considered a strategy after the initial extended rupture.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A symptomatic anterior mediastinal mass with a simultaneous Haemophilus influenzae infection

Hee

Chen

Yeh

et al. 2018

Respirology Case Reports

View full text Add to dashboard Cite

show abstract

“…Depending on the site of rupture, the patient may develop chest pain (due to chemical pneumonitis, pleuritis, or mediastinitis), dyspnea, hemoptysis, hemothorax, trichoptysis (coughing out of sebaceous materials and hair), pneumothorax, constitutional symptoms, cardiac tamponade, and perforation of great vessels. Surgical resection is the treatment of choice because of the risks of rupture with serious and life‐threatening complications and malignant transformation .…”

Section: Discussionmentioning

confidence: 99%

Subclinical community‐acquired Acinetobacter pneumonia associated with mature cystic teratoma masquerading as lung abscess

Ling

Yau

Kwan

et al. 2019

Respirology Case Reports

View full text Add to dashboard Cite

A 22‐year‐old lady presented with fever and right pleuritic chest pain with chest X‐ray showing a right suprahilar shadow. Her symptoms largely subsided with antibiotic therapy but the shadow remained unresolved. Computerized tomography (CT) scan of thorax showed consolidation over the anterior segment of the right upper lobe with a hypodense area suspicious of a lung abscess. Fine needle aspirates of the lesion grew Acinetobacter baumannii twice but the shadow persisted despite multiple courses of antibiotics targeted at the organism. Right video‐assisted thoracoscopic surgery was done and the pathological diagnosis was a mature cystic teratoma with adjacent lung consolidation. Culture of the lung specimen also grew Acinetobacter baumannii. This was the first reported case of subclinical community‐acquired Acinetobacter pneumonia in association with a mature cystic teratoma, which masquerades as a lung abscess.

show abstract

“…Suwatanapongched et al . reported an intrapulmonary rupture of mediastinal teratoma after four years [ 4 ]. However, we based onset on the diagnosis and only for symptoms in this report, and there is no accurate evidence to confirm this.…”

Section: Case Presentationmentioning

confidence: 99%

Resection of a ruptured mature cystic teratoma diagnosed two years after the onset of perforation

et al. 2014

View full text Add to dashboard Cite

Perforated cystic teratomas are rare. Our patient was a 16-year-old female who presented with severe chest pain two years ago. A right-sided pleural effusion was accidentally detected by chest radiography performed at her school. Computed tomography revealed a high density area with multiple small, thickened, lobulated lesions and a low density area with pleural effusion adjacent to a thinned wall. Pathognomonic inhomogeneous computed tomography findings led to an accurate diagnosis of a mature teratoma that had ruptured long before presentation. Thoracoscopic resection was performed, and the final histological diagnosis was a mature teratoma with partial rupture.

show abstract

A 30-Year-Old Woman With Intermittent Cough and a Mass-Like Opacity in the Right Upper Lobe

Cited by 7 publications

References 19 publications

A symptomatic anterior mediastinal mass with a simultaneous Haemophilus influenzae infection

A symptomatic anterior mediastinal mass with a simultaneous Haemophilus influenzae infection

Subclinical community‐acquired Acinetobacter pneumonia associated with mature cystic teratoma masquerading as lung abscess

Resection of a ruptured mature cystic teratoma diagnosed two years after the onset of perforation

Contact Info

Product

Resources

About