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Intrapulmonary mature teratoma: an unusual finding

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

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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Contributions

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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Correspondence to Ricardo Sepulveda-Malec.

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This study adheres to the current guidelines delineated by the Declaration of Helsinki.

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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

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