Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Clinical History:
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:
Unremarkable
Clinical Labs:
Non-contributory
Clinical Differential Diagnosis:
Musculoskeletal injury
Imaging Findings:
A chest film showed an anterior mediastinal mass. A chest CT exam
showed the mass to contain fluid, fat, and soft tissue.
Imaging Differential Diagnosis:
Teratoma
Operative Findings:
The patient was taken electively to the operating room and the mass
was removed.
Pathological Findings:
Pathological examination of the surgical specimen showed a mature
cystic teratoma of probable thymic origin. Its components included
pancreatic and thymic tissue.
Final Diagnosis:
Teratoma, Anterior Mediastinal
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
Similar Cases:
Case 33,
Case 34,
Case 37,
Case 39,
Case 40,
Case 41,
Case 60
References:
Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
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