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Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was an 18 year old female who had right upper chest and shoulder pain exacerbated by movement and inspiration for a month.
Clinical Physical Exam:
Clinical Differential Diagnosis:
A chest film showed an anterior mediastinal mass. A chest CT exam showed the mass to contain fluid, fat, and soft tissue.
Images 1 and 2
Imaging Differential Diagnosis:
The patient was taken electively to the operating room and the mass was removed.
Pathological examination of the surgical specimen showed a mature cystic teratoma of probable thymic origin. Its components included pancreatic and thymic tissue.
Teratoma, Anterior Mediastinal
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
Case 33, Case 34, Case 37, Case 39, Case 40, Case 41, Case 60
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