Rare case of intrathoracic mature cystic teratoma in rural area children: a case report
Main Article Content
Keywords
intrathoracal teratoma, intrathoracal tumor, mature cystic teratoma, mature teratoma
Abstract
Introduction: Teratoma is a tumor that often occurs in the gonad area, but can also occur in rare cases in the extragonadal area, such as in the intrathorax. In this paper, we present the experience in diagnosing and managing a case of teratoma in a child, which was first mistaken for an abscess. This study aims to report one of the rare cases of mature cystic teratoma in a rural area in Indonesia and discuss its clinical presentation, modality examination, therapy, and outcome, thereby adding insight into providing an accurate diagnosis of this condition.
Case description: A 13-year-old boy with a chief complaint of shortness of breath that had been felt for 1 year, accompanied by pain in the upper right abdomen, weight loss, and fatigue. The right lung vesicular base sound was decreased. Chest x-ray and computed tomography were performed with suspicion of an abscess. An exploratory thoracotomy was performed. A cystic mass containing hair and pus was found. The mass was attached to the pleura and completely evacuated by dissection. Histopathology examination of the mass specimen confirmed a mature cystic teratoma. The patient was discharged only with complaints of mild pain. The patient had no more symptoms during the post-operative follow-up.
Conclusion: Intrathoracic mature teratoma is a rare tumor that may mimic more common conditions, making timely and accurate diagnosis difficult. Surgical resection remains the treatment of choice, and clinicians in tuberculosis-endemic regions should maintain high suspicion to avoid misdiagnosis and improve outcomes.
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