Mature Mediastinal Teratoma: The Longue Timeline from Onset of Symptoms to Definitive Management

Sani Rabiou, Boubacar Efared, Hicham Harmouchi, Marouane Lakranbi, Mounia Serraj, Yassine Ouadnouni and Mohamed Smahi

Department of Thoracic Surgery, CHU Hassan II, Morocco
Department of Pathology, CHU Hassan II, Morocco
Department of Respiratory Diseases, CHU Hassan II, Morocco
Department of Medicine and Pharmacy, Sidi-Mohamed-Ben-Abdellah University, Morocco

^*Correspondance to: Sani Rabiou 

 PDF  Full Text DOI: 10.25107/2474-1647.2063

Abstract

Background: Mediastinal teratomas are rare. Nevertheless, they represent the most frequent mediastinal germ cell tumours. The aim of our work is to study the anatomoclinic and radiological features of these mediastinal tumours.Methods: This is a retrospective study carried out in the CHU Hassan II department of thoracic surgery between June 2009 and May 2017, collecting 8 teratomas from the mediastinum.Results: They are 5 women and 3 men with an average age of 37 years (extremes of 16 to 65 years). The main sign revealing was chest pain in three cases. We noticed a complex rupture in the bronchi and the lung in one case, associated with a cutaneous fistula in another patient. The radiological assessment showed an evocative aspect of a mediastinal teratoma with ranges of variable densities: solid, fluid, fat and calcium only in three patients. The surgical exploration by posterolateral thoracotomy had allowed the complete resection of the tumor in the cases. Anatomopathological examination of the room confirmed the diagnosis of a mature teratoma in all patients.Conclusion: The clinical picture of mediastinal mature teratomas is non-specific. The association with a rupture testifies to the long evolution of this disease. The imaging is often atypical showing entirely cystic lesions.

Keywords

Tumor of the mediastinum; Mature teratoma; Teratoma ruptured; Surgery

Cite the article

Rabiou S, Efared B, Harmouchi H, Lakranbi M, Serraj M, Ouadnouni Y, et al. Mature Mediastinal Teratoma: The Longue Timeline from Onset of Symptoms to Definitive Management. Clin Surg. 2018; 3: 2063.