Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지

Spontaneous Rupture of Mediastinal Teratoma into Adjacent Tissues

주위 조직으로 파열된 종격동 기형종 1예

  • Jeon, Jeong-Bae (Department of Internal Medicine, Inha University College of Medicine) ;
  • Chung, Chung-Hwan (Department of Internal Medicine, Inha University College of Medicine) ;
  • Moon, Tai-Hoon (Department of Internal Medicine, Inha University College of Medicine) ;
  • Cho, Jae-Wha (Department of Internal Medicine, Inha University College of Medicine) ;
  • Ryu, Jeong-Seon (Department of Internal Medicine, Inha University College of Medicine) ;
  • Kwak, Seung-Min (Department of Internal Medicine, Inha University College of Medicine) ;
  • Lee, Hong-Lyeol (Department of Internal Medicine, Inha University College of Medicine) ;
  • Cho, Chul-Ho (Department of Internal Medicine, Inha University College of Medicine) ;
  • Han, Hye-Seung (Department of Pathology, Inha University College of Medicine) ;
  • Kim, Kwang-Ho (Department of Thoracic Cardiovascular Surgery, Inha University College of Medicine)
  • 전정배 (인하대학교 의과대학 내과학교실) ;
  • 정정환 (인하대학교 의과대학 내과학교실) ;
  • 문태훈 (인하대학교 의과대학 내과학교실) ;
  • 조재화 (인하대학교 의과대학 내과학교실) ;
  • 류정선 (인하대학교 의과대학 내과학교실) ;
  • 곽승민 (인하대학교 의과대학 내과학교실) ;
  • 이홍렬 (인하대학교 의과대학 내과학교실) ;
  • 조철호 (인하대학교 의과대학 내과학교실) ;
  • 한혜승 (인하대학교 의과대학 해부병리학교실) ;
  • 김광호 (인하대학교 의과대학 흉부외과학교실)
  • Published : 1999.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Mediastinal teratomas are rare and represent less than 10 per cent of all mediastinal tumors. Almost all arise in the anterosuperior mediastinal compartment, and most symptoms, when present, result from compression of adjacent structures. They contain different tissues derived from all three germinal layers, with the prevalence of ectodermal elements which can include hair, teeth and sebaceous material. Benign teratomas may rupture into adjacent organs. Up to 36% of all mediastinal teratomas rupture, most frequently into the lung and bronchial tree, followed by the pleural space, pericardial space, or great vessels. The signs and symptoms of a ruptured teratoma vary with the structures involved. We report a case of mediastinal teratoma ruptured spontaneously in a 18 year old female who experienced 4 or 5 times of hemoptysis for 1 year and sudden onset of pleural effusion, pericardial effusion and pneumonia.

저자들은 간헐적으로 객혈을 하였던 18세 여자 환자에서 종격동 기형종의 자연파열에 의해 발현될 수 있는 심낭삼출 및 흉막삼출, 폐렴, 객혈 등의 소견이 동시에 발현된 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords