肺へ穿孔した縦隔成熟型奇形腫の一例

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  • A case of benign mediastinal teratoma perforating the lung.

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Benign mediastinal teratomas sometimes perforate adjacent organs. The frequency of perforation is reported to be 36% of all benign mediastinal teratoma. We report a case of benign mediastinal teratoma perforating the right lung. A 12-year-old female developed pneumonia on May 20, 1993 and was admitted to a local hospital on June 12. She was transferred to our hospital with complaints of sudden chest pain, severe cough and fever for further examination and treatment on June 17. An abnormal shadow was seen on her chest X-ray film and increase in size of this shadow was observed for 5 day before admission. A preoperative diagnosis was mediastinal teratoma and she was performed an operation on June 21. The tumor was observed on the right side of the anterior mediastinum and adhered to the right upper lobe of the lung so firmly that it was necessary to resect the part of the right lung. Histopathological findings showed that the tumor was a mature teratoma perforating the right lung because of the abscess in lung to which it adhered.

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