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Carcinoid tumor in a mature thymic teratoma: a rare type of extra cardiac mass.

Zanini G, Chiudinelli M, Bercich L, Pelati A, Bortolotti M, Pasini GF - Case Rep Vasc Med (2012)

Bottom Line: We describe the case of a young female affected by a thymus teratoma coexisting with carcinoid tumor.

View Article: PubMed Central - PubMed

Affiliation: U.O.C. Cardiologia, Ospedale la Memoria di Gavardo, Via Gosa n. 74, 25085 Gavardo, Italy.

ABSTRACT
We describe the case of a young female affected by a thymus teratoma coexisting with carcinoid tumor.

No MeSH data available.


Related in: MedlinePlus

Electrocardiogram is normal.
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fig2: Electrocardiogram is normal.

Mentions: We present a rare case of typical carcinoid tumor arising within mature cystic teratoma of thymus in a 38-year-old female. Chest X-ray, done for incessancy cough, accidentally found an enlargement of the anterior mediastinum (Figure 1). Further ECG (Figure 2), transthoracic echocardiography, and then transoesophageal one (Figure 3) revealed an ovalar extracardiac mass immediately anterior to the first tract of the pulmonary artery and anterior to the left atrium without compression effect. She also underwent a thoracic medium contrast computerized axialtomography (Figure 4) that confirmed the encapsulated dishomogeneous expansive anterior mediastinal lesion of diameter 5.0 × 7.5 cm, with some calcification. She underwent to a surgical treatment with total thymectomy by left axillary thoracotomy saving muscles. Macroscopically the single chambered cystic lesion of about 8 × 6 × 3.7 cm was encapsulated and multiloculated with brown smooth thick wall filled with yellow-tan material. Inside the wall, there was a 1–1.5 cm nodular white area with calcification. Microscopically, the tumor showed coexistent mature cystic teratoma and moderately differentiated carcinoid tumor (Figures 5 and 6). The teratomatous cysts and carcinoid tumor showed strong staining for pankeratin, chromogranin and synaptophysin and insulin; negative for PTH, TTF1, gastrin, glucagon.


Carcinoid tumor in a mature thymic teratoma: a rare type of extra cardiac mass.

Zanini G, Chiudinelli M, Bercich L, Pelati A, Bortolotti M, Pasini GF - Case Rep Vasc Med (2012)

Electrocardiogram is normal.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3472539&req=5

fig2: Electrocardiogram is normal.
Mentions: We present a rare case of typical carcinoid tumor arising within mature cystic teratoma of thymus in a 38-year-old female. Chest X-ray, done for incessancy cough, accidentally found an enlargement of the anterior mediastinum (Figure 1). Further ECG (Figure 2), transthoracic echocardiography, and then transoesophageal one (Figure 3) revealed an ovalar extracardiac mass immediately anterior to the first tract of the pulmonary artery and anterior to the left atrium without compression effect. She also underwent a thoracic medium contrast computerized axialtomography (Figure 4) that confirmed the encapsulated dishomogeneous expansive anterior mediastinal lesion of diameter 5.0 × 7.5 cm, with some calcification. She underwent to a surgical treatment with total thymectomy by left axillary thoracotomy saving muscles. Macroscopically the single chambered cystic lesion of about 8 × 6 × 3.7 cm was encapsulated and multiloculated with brown smooth thick wall filled with yellow-tan material. Inside the wall, there was a 1–1.5 cm nodular white area with calcification. Microscopically, the tumor showed coexistent mature cystic teratoma and moderately differentiated carcinoid tumor (Figures 5 and 6). The teratomatous cysts and carcinoid tumor showed strong staining for pankeratin, chromogranin and synaptophysin and insulin; negative for PTH, TTF1, gastrin, glucagon.

Bottom Line: We describe the case of a young female affected by a thymus teratoma coexisting with carcinoid tumor.

View Article: PubMed Central - PubMed

Affiliation: U.O.C. Cardiologia, Ospedale la Memoria di Gavardo, Via Gosa n. 74, 25085 Gavardo, Italy.

ABSTRACT
We describe the case of a young female affected by a thymus teratoma coexisting with carcinoid tumor.

No MeSH data available.


Related in: MedlinePlus