2000 Volume 14 Issue 6 Pages 726-730
A relatively rare case of cystic teratoma, which was pre-operatively diagnosed as perforating the bronchus by trichoptysis and aeration inside, is reported. A 36-year-old woman was admitted to our hospital with complaints of abnormal shadow on chest X-ray film. Chest CT scan showed an anterior mediastinal cystic mass with aeration inside, and she presentedtrichoptysis on admission. She could be diagnosed with cystic teratoma pre-operatively by these findings.
At surgery, an anterior mediastinal tumor perforating into the left B3 bronchus was revealed, and total resection of the tumor with adherent part of the left upper lobe was performed. The post-operative course was uneventful, and she has no symptoms at present.