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Revista de Ciencias Médicas de Pinar del Río
versão On-line ISSN 1561-3194
Resumo
PAZ ALVAREZ, Luis Alberto e PERALTA CAMPOS, Yoniel. Infant with mediastinal teratoma and associated pneumonitis: a case report. Rev Ciencias Médicas [online]. 2021, vol.25, n.4 Epub 01-Jul-2021. ISSN 1561-3194.
Introduction:
teratoma is a tumor that originates from germ cells and it is constituted by different tissues derived from one or several embryonic layers. Mediastinal teratomas arise as a consequence of an embryogenic error during the migration of germ cells to the gonads.
Case report:
infant with unilateral white lung, discrete catarrhal manifestations and initial diagnosis of extensive pneumonia. The persistence of the radiological picture led to high clinical suspicion of non-infectious underlying etiology. Multislice computed tomography was performed during his admission, which showed images suggestive of mediastinal tumor. He underwent surgery with histological diagnosis of mature mediastinal teratoma.
Conclusions:
mediastinal teratoma is a rare entity with non-specific clinical features. They usually present as slow-resolution or persistent pneumonia, with inconclusive signs in pulmonary radiography. Its treatment is eminently surgical; other therapeutic pillars are evaluated in the pathologic context. The varieties with the worst prognosis have their onset in the first year of life; the clinical case presented is a significant exception.
Palavras-chave : TERATOMA; TISSUES; CHILD; PULMONARY MEDICINE; RESPIRATORY SYSTEM.