Man 27 yo, one month ago, got cough and dyspnea at night. Chest X-ray showed one mass of 10cm near the apex of the heart.
Chest ultrasound, in sitting position, revealed pleural effusion, like bloody and this mass on chest X-ray was solid and covered the heart.
MDCT of the lungs with CE, this mass belongs to anterior mediastinum and in extention around the pericardium and pleural effusion. Radiologist suggested a teratoma.
Do you agree with the CT diagnosis ?
Thoracotomy the case
removed 1.7 liter of
yellowish fluid, and tumor looked like
brain tissue.
Microscopic result is suggestive of undiffentiated thymocarcinoma.
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