[Mediastinal teratoma with recurrent encysted pleural effusion]. / Tératome médiastinal avec épanchement pleural enkysté récidivant.
Rev Mal Respir
; 19(3): 367-70, 2002 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-12161704
ABSTRACT
A 25 year old man with no previous history was admitted for a recurrent right sided encysted pleural effusion. Thoracocentesis revealed an exudative lipase-rich-fluid. Because of the persistence of abundant pleural fluid after several thoracocentesis a diagnostic mediastinotomy was performed. This revealed a necrotic cystic mediastinal tumor composed of well differentiated pancreatic tissue, nervous tissue, digestive and respiratory glands, and a dermoid mass with hair and sebacious glands. This led to a diagnosis of benign, mature mediastinal teratoma. We suggest that the chronic pleural effusion was maintained by a fistula from the tumour into the pleural cavity and the secretion of proteolytic enzymes by the well-differentiated pancreatic tissue.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Teratoma
/
Derrame Pleural Maligno
/
Neoplasias do Mediastino
Limite:
Adult
/
Humans
/
Male
Idioma:
Fr
Revista:
Rev Mal Respir
Ano de publicação:
2002
Tipo de documento:
Article
País de afiliação:
França