Benign Mediastinal Teratoma with Intrapulmonary and Bronchial Rupture Presenting with Recurrent Hemoptysis

AUTHORS

Farheen Badar 1 , * , Shagufta Yasmeen 2 , Nishat Afroz 3

1 Department of Radiodiagnosis, J.N. Medical College, A.M.U, India

2 Department of Pathology, J.N. Medical College, A.M.U, India

3 Firoz Hospital, Aligarh, India

How to Cite: Badar F, Yasmeen S, Afroz N. Benign Mediastinal Teratoma with Intrapulmonary and Bronchial Rupture Presenting with Recurrent Hemoptysis, Iran J Radiol. Online ahead of Print ; 10(2):86-9. doi: 10.5812/iranjradiol.11724.

ARTICLE INFORMATION

Iranian Journal of Radiology: 10 (2); 86-9
Published Online: May 19, 2013
Article Type: Case Report
Received: May 20, 2011
Accepted: December 1, 2012
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Abstract

Mediastinal teratomas are usually asymptomatic tumors, located most commonly in the anterior mediastinum. Very rarely, such tumors may rupture into the tracheobronchial tree, lung, pleura or pericardium. Computed Tomography (CT) is helpful in the diagnosis and differentiation of ruptured and unruptured tumors.

We report a case of ruptured anterior mediastinal teratoma in a 20-year-old female presenting with recurrent hemoptysis and cough; thus, mimicking a lung malignancy or tuberculosis. CT demonstrated a heterogeneous fat containing lesion in the anterior mediastinum with extension into the lingular lobe. Subsequent fine needle aspiration cytology (FNAC) yielded plenty of anucleate squames and debris, and a clear cut diagnosis could not be made. Total excision of the tumor was performed and histopathology of the surgically excised mass confirmed the CT diagnosis.

Keywords

Mediastinal Teratoma Rupture Hemoptysis Tomography, X-Ray Computed

© 2013, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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