Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Teratoma with Malignant Transformation in the Anterior Mediastinum: A Case Report

  • Jung Im Jung (Department of Radiology, St. Mary's Hospital College of Medicine, The Catholic University of Korea) ;
  • Seog Hee Park (Department of Radiology, St. Mary's Hospital College of Medicine, The Catholic University of Korea) ;
  • Jae Gil Park (Department of Thoracic Surgery, St. Mary's Hospital College of Medicine, The Catholic University of Korea) ;
  • Sun Hee Lee (Department of Thoracic Surgery, St. Mary's Hospital College of Medicine, The Catholic University of Korea) ;
  • Kyo Young Lee (Department of Pathology, St. Mary's Hospital College of Medicine, The Catholic University of Korea) ;
  • Seong Tai Hahn (Department of Radiology, St. Mary's Hospital College of Medicine, The Catholic University of Korea)
  • Received : 2000.02.16
  • Accepted : 2000.05.21
  • Published : 2000.09.30
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Abstract

Malignant transformation of teratoma in the anterior mediastinum is rare; the mass usually has a long history and is seen in older patients. We report a case of teratoma with malignant transformation in the anterior mediastinum, complicated by rupture. CT revealed a lobulated, inhomogeneous cystic mass with a fat component and wall calcifications. The lateral wall was disrupted and consolidation in the adjacent left upper lobe was noted, suggesting rupture. A heterogeneously enhanced solid portion, obliterating the fat plane between the mass and the great vessels was present in the medial aspect of the mass, and pathologic examination demonstrated the presence of adenocarcinoma.

Keywords

References

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