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
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