ECTSS Home  |  Past Meetings
Eastern Cardiothoracic Surgical Society

Back to 2020 Program


Teratoma Treatment with En Bloc Lung Resection and Phrenic Nerve Release in a Child
Austin Rogers, James Speicher, Robert Allman, Audrea Oliver, Mark Iannettoni, Carlos Anciano
East Carolina University, Greenville, NC, USA

OBJECTIVE: A teratoma is a germ cell tumor made up of embryonic ectoderm, endoderm, and mesoderm most commonly found in the gonads. The mediastinum is a rare location for a teratoma, accounting for only 7% of germ cell tumors. Mature mediastinal teratomas are often asymptomatic, though they can present with respiratory complaints and/or chest pain. Treatment typically involves complete resection through video-assisted thoracoscopic surgery (VATS).
METHODS: 12-year-old female patient with no previous medical history presented to the Emergency Department with a chief complaint of left shoulder and back pain. A 7.2 x 6.9 cm mass in the left anterolateral mediastinum with suspected phrenic nerve involvement and underwent thoracoscopic en bloc resection with nerve release.
RESULTS: The patient was discharged home on post-operative day 2 without complications. A follow-up CT Chest 4 months later showed complete re-expansion of lower lobe with no signs of recurrence.
CONCLUSIONS:This report demonstrates the value and role of minimally invasive approach to minimize morbidity, chest wall growth alteration, and sound oncologic principles of resection in pediatric population


Back to 2020 Program