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

IF 0.7 Q4 SURGERY
Tomoki Keiya, Hirofumi Uehara, Miho Aoyagi, Atsushi Watanabe
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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.

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。
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来源期刊
自引率
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发文量
218
审稿时长
13 weeks
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