Eur J Cardiothorac Surg 2004;26:823
© 2004 Elsevier Science NL
Images in cardio-thoracic surgery |
Giant posterior mediastinal benign cystic teratomatous ganglioneurofibro-lipoma in the first decade
Madathipat Unnikrishnana*,
Milan Kundua,
Samavedam Sandhyamanib,
Shrinivas Vitthal Gadhinglajkarc
a Department of Cardio Thoracic and Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
b Department of Pathology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
c Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
Received 25 February 2004;
received in revised form 26 May 2004;
accepted 31 May 2004.
* Corresponding author. Tel.: +91-471-2524-463
e-mail: unni{at}sctimst.ac.in
Key Words: Posterior mediastinal mass • Lipomatous benign cystic teratoma • Ganglioneurofibroma
A 4
-year-old girl on evaluation for dyspnoea had a large mass lesion occupying right lower hemithorax delineated by chest CT (Fig. 1
A). Fleshy posterior mediastinal tumour (Fig. 1B) enucleated through thoracotomy showed adipose tissue with cystic spaces containing mature dermal, mesodermal and neuroectodermal elements (Fig. 2A and B)
histologically.
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Fig. 1. (A) CT scan chest showing large posterior mediastinal mass extending superiorly up to tracheal carina (white arrow) and (B) gross specimen showing fleshy mediastinal mass measuring 20x15x15 cm and weighing 300 gm.
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Fig. 2. (A) Cut surface of the excised mass consists mainly of adipose tissue traversed by fibrous bands and few cystic spaces containing serous fluid or cheesy-white greasy material and hair (arrows) and (B) ganglion cell (arrow) surrounded by satellite cells within neurofibromatous stroma (B: HE,x260).
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