Abstract
Cystic teratomas of the mediastinum are rare and present with severe respiratory distress during childhood. Aspiration of the cyst is indicated to reduce the cyst volume, alleviate the patient’s symptoms, and secure an operative field. This report describes a 4-month-old male baby with a large anterior mediastinal teratoma presenting with severe respiratory distress. The cystic teratoma was large enough to cause pectus carinatum. Respiratory distress secondary to airway obstruction was markedly reduced by percutaneous aspiration of the cyst. Surgical excision is indicated for a malignant or benign well-demarcated mass in any part of the mediastinum. In our patient, total surgical excision was performed. Preoperatively, percutaneous aspiration was performed twice, with the symptoms being reduced after each aspiration. Surgical excision is the best means of diagnosing and treating a benign teratoma. Percutaneous cyst aspiration not only improved ventilation but also facilitated easy excision of the cyst during surgical management.
Similar content being viewed by others
References
Lewis DL, Hurt RD, Payne WS, Farrow GM, Knapp RH, Muhm JR. Benign teratomas of the mediastinum. J Thorac Cardiovasc Surg 1983;86:727–731.
Lakhoo K, Boyle M, Drake DP. Mediastinal teratomas: review of 15 cases. J Pediatr Surg 1993;28:1161–1164.
Kuroiwa M, Suzuki N, Takahashi A, Ikeda H, Hatakeyama SI, Matsuyama S, et al. Life-threatening mediastinal teratoma in a neonate. Pediatr Surg Int 2001;17:235–238.
Takeda S, Miyoshi S, Ohta M, Minami M, Masaoka A, Matsuda H. Primary germ cell tumors in the mediastinum: a 50-year experience at a single Japanese institution. Cancer 2003;97:367–376.
Martin KW, Siegel MJ, Chesna E. Spontaneous resolution of mediastinal cysts. AJR Am J Roentgenol 1988;150:1131–1132.
Menon P, Rao KL, Trehan A. Preoperative aspiration for anterior mediastinal cyst with respiratory distress. Indian Pediatr 2003;40:897–900.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Avci, A., Eren, S. Life-threatening giant mediastinal cystic teratoma in a 4-month-old male baby. Gen Thorac Cardiovasc Surg 57, 389–391 (2009). https://doi.org/10.1007/s11748-009-0421-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-009-0421-5