PMC9850029_01
Chest X-ray showed the mediastinal tumor in the right lung.
gr1.jpg
PMC9850029_01_gr1.jpg
f0005
Radiological examination supported mediastinal teratoma, in which a chest X-ray showed the mediastinal tumor in the right lung (Fig. 1).
Thorax CT scan showed a mass in the right mediastinal of 8.7 x 6.7 cm. Characteristic mass included thick-walled cysts with fat, solid, and calcified components.
gr2.jpg
PMC9850029_01_gr2.jpg
f0010
A thorax CT scan showed a mass (size of 8.7 x 6.7 cm) in the right superior mediastinal similarly mediastinal teratoma (Fig. 2).
Thoracic MRI showed a solid mass (5.7 x 7.7 x 8.7 cm) with cysts and fat component, peritumoral bleeding, and Loculated pleural effusion in the right lobe.
gr3.jpg
PMC9850029_01_gr3.jpg
f0015
O2 of 3 L/min (nasal cannula) while the others were continued. On the 21st day, alpha-fetoprotein (AFP) of 0.2 ng/mL, beta human chorionic gonadotropin (beta-HCG) of 0.39 mlU/mL and thoracic magnetic resonance imaging (MRI) showed a solid mass with the cystic and fat component, peritumoral bleeding with well-defined margins was also found (Fig. 3).
Tumor tissue consists of squamous epithelium, sebaceous glands, hair follicles, adipose tissue, cartilage tissue, and mucinous glands.
gr4.jpg
PMC9850029_01_gr4.jpg
f0020
On the 33rd day, the histopathology of tumor tissue found no signs of malignancy, concluding that the mediastinal teratoma was mature (Fig. 4).