A case of anterior mediastinal mature teratoma with severe inflammatory extension into the neck.

IF 0.7 Q4 SURGERY Surgical Case Reports Pub Date : 2024-11-05 DOI:10.1186/s40792-024-01946-2
Tomoki Keiya, Hirofumi Uehara, Miho Aoyagi, Atsushi Watanabe
{"title":"A case of anterior mediastinal mature teratoma with severe inflammatory extension into the neck.","authors":"Tomoki Keiya, Hirofumi Uehara, Miho Aoyagi, Atsushi Watanabe","doi":"10.1186/s40792-024-01946-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>We present the case of a rare occurrence of an anterior mediastinal mature teratoma extending into the neck, commonly referred to as a cervicothoracic mature teratoma.</p><p><strong>Case presentation: </strong>A 19-year-old female presented with right-sided neck pain and swelling, which were found to be attributed to a 14 cm cystic lesion originating from the right thyroid lobe and extending into the mediastinum. A diagnosis of mediastinal teratoma with extension to the neck was made. Robot-assisted thymectomy was initiated but was complicated by dense tumor adherence to the superior vena cava and brachiocephalic veins, prompting a switch to a midline sternotomy. Simultaneous resection of the right thyroid lobe was performed due to inflammation. The transition to a midline sternotomy allowed successful excision of the tumor, which was confirmed to be a mature teratoma confined to the thoracic region. The patient's favorable postoperative course led to discharge on day 5 with no recurrence at nine months.</p><p><strong>Conclusions: </strong>Emphasizing the challenges and the importance of prompt intervention in the management of mediastinal teratomas with neck extension.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534930/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40792-024-01946-2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: We present the case of a rare occurrence of an anterior mediastinal mature teratoma extending into the neck, commonly referred to as a cervicothoracic mature teratoma.

Case presentation: A 19-year-old female presented with right-sided neck pain and swelling, which were found to be attributed to a 14 cm cystic lesion originating from the right thyroid lobe and extending into the mediastinum. A diagnosis of mediastinal teratoma with extension to the neck was made. Robot-assisted thymectomy was initiated but was complicated by dense tumor adherence to the superior vena cava and brachiocephalic veins, prompting a switch to a midline sternotomy. Simultaneous resection of the right thyroid lobe was performed due to inflammation. The transition to a midline sternotomy allowed successful excision of the tumor, which was confirmed to be a mature teratoma confined to the thoracic region. The patient's favorable postoperative course led to discharge on day 5 with no recurrence at nine months.

Conclusions: Emphasizing the challenges and the importance of prompt intervention in the management of mediastinal teratomas with neck extension.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
一例前纵隔成熟畸胎瘤伴有严重的颈部炎症扩展。
背景:这是一例罕见的纵隔成熟畸胎瘤延伸至颈部的病例:我们报告了一例罕见的前纵隔成熟畸胎瘤延伸至颈部的病例,通常称为颈胸成熟畸胎瘤:一名 19 岁的女性因右侧颈部疼痛和肿胀就诊,经检查发现是由右侧甲状腺叶延伸至纵隔的 14 厘米囊性病变所致。诊断结果为纵隔畸胎瘤并延伸至颈部。开始进行机器人辅助胸腺切除术,但由于肿瘤致密粘连上腔静脉和肱静脉,导致手术复杂化,不得不改用胸骨中线切开术。由于炎症,同时进行了右甲状腺叶切除术。改用胸骨中线切除术后,肿瘤得以成功切除,经证实这是一个局限于胸腔区域的成熟畸胎瘤。患者术后恢复良好,第 5 天出院,9 个月后未再复发:强调了纵隔畸胎瘤颈部扩展治疗的挑战和及时干预的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
218
审稿时长
13 weeks
期刊最新文献
A case of anterior mediastinal mature teratoma with severe inflammatory extension into the neck. Surgical resection following chemoradiotherapy for thoracic SMARCA4-deficient undifferentiated tumor: a report of two cases. Gastro-tracheal fistula following esophageal cancer surgery through the retrosternal route: a case report. Successful laparoscopic arterial ligation of splenic artery aneurysm with a splenomesenteric trunk: a case report and literature review. Correction: A case of laparoscopic partial hepatic S7 resection for postoperative liver metastasis of rectal malignant melanoma.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1