Abstract
Teratomas are tumors consisting of tissues derived from more than one germ cell line. Usual locations are sacrococcygeal region, intracranial, mediastinum, and gonads. Entirely intrapulmonary teratomas, with no mediastinal component, are rarely reported. We present the case of a 37-year-old man who presented for evaluation due to persistent and progressive intermittent cough. There was no sputum or hemoptysis. Computed tomography (CT) revealed an irregular, cystic lesion in the upper lobe of his left lung, which raised suspicion for aspergilloma. The patient underwent a left thoracotomy and, after finding a completely collapsed and hypoplastic left lung almost entirely occupied by an irregular mass, a total left pneumonectomy was performed. Pathological review reported an entirely intrapulmonary mature teratoma. Intrapulmonary mature teratomas are extremely rare, although several have been reported. Trichoptysis (expectoration of hair) is a specific finding that may help distinguish this entity from mediastinal teratomas.
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References
Saini ML, Krishnamurthy S, Kumar RV. Intrapulmonary mature teratoma. Diagn Pathol. 2006;1:38. https://doi.org/10.1186/1746-1596-1-38.
Barreto MM, Valiante PM, Zanetti G, Boasquevisque CHR, Marchiori E. Intrapulmonary mature teratoma mimicking a fungus ball. Lung. 2015;193:443–5.
Sawant AC, Kandra A, Narra SR. Intrapulmonary cystic teratoma mimicking malignant pulmonary neoplasm. BMJ Case Rep. 2012. https://doi.org/10.1136/bcr.02.2012.5770.
Saha TK, Roy A, Chattopadhyay A, Roy B, Mondal G. Giant intrapulmonary teratoma in an infant. Hell Cheirourgike. 2015;87:185–7.
Ditah C, Templin T, Mandal R, Pinchot JW, Macke RA. Isolated intrapulmonary teratoma. J Thorac Cardiovasc Surg. 2016;6:e129–e31.
Scinico M, Ogunnaike R, Inigo-Santiago L. Intrapulmonary teratoma causing S. Enteritidis pneumonia. B60 bacterial and viral infection cases. Ann Am Thorac Soc. 2020;201:A3893.
Macht M, Mitchell JD, Cool C, Lynch DA, Babu A, Schwarz MI. A 31-year-old woman with hemoptysis and an intrathoracic mass. Chest. 2010;138:213–9.
Dasbaksi K, Haldar S, Mukherjee K, Chakraborty U, Majumdar P, Mukherjee P. Intrapulmonary teratoma: report of a case and review of literature. Asian Cardiovasc Thorac Ann. 2016;24:574–7.
Badar F, Yasmeen S, Afroz N, Khan N, Azfar SF. Benign mediastinal teratoma with intrapulmonary and bronchial rupture presenting with recurrent hemoptysis. Iran J Radiol. 2013;10:86–9.
Mardani P, Naseri R, Amirian A, et al. Intrapulmonary mature cystic teratoma of the lung: case report of a rare entity. BMC Surg. 2020;20:203.
Ram D, Ramsankar P, Karthik P, Bathal Vedagiri SC. Intrapulmonary teratoma masquerading as hydatid cyst of the lung. Indian J Thorac Cardiovasc Surg. 2019;35:71–73. https://doi.org/10.1007/s12055-018-0701-8.
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Conceptualization: Sergio Estévez-Cerda. Data recollection: Sergio Estévez-Cerda and Mariana Cabral-Nunes. Writing—original draft preparation: Sergio Estévez-Cerda. Writing—review and editing: Mariana Cabral-Nunes, Ricardo Sepúlveda-Malec, and Jose F Villegas-Elizondo. All authors revised and approved this manuscript’s final version.
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Estevez-Cerda, S., Cabral-Nunes, M., Villegas-Elizondo, J.F. et al. Intrapulmonary mature teratoma: an unusual finding. Indian J Thorac Cardiovasc Surg 38, 80–83 (2022). https://doi.org/10.1007/s12055-021-01180-7
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DOI: https://doi.org/10.1007/s12055-021-01180-7