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Takashi Sakai
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Ann Thorac Surg 1991;51:110-112
© 1991 The Society of Thoracic Surgeons

Articles

Rupture of a benign mediastinal teratoma into the right pleural cavity

Takane Hiraiwa, MD*, Takashi Hayashi, MD, Masanori Kaneda, MD, Takashi Sakai, MD, Shoji Namikawa, MD, Minoru Kusagawa, MD, Itsuo Kusano, MD

Departments of Thoracic Surgery and Pathology, Mie University School of Medicine, Tsu, Japan

Accepted for publication June 1, 1990.

* Address reprint requests to Dr Hiraiwa, Department of Thoracic Surgery, Mie University School of Medicine, 2-174 Edobashi, Tsu-shi, Mie 514, Japan.

A 27-year-old woman with a ruptured mediastinal cystic teratoma had high levels of amylase and carcinoembryonic antigen in cystic fluid. The activity of the amylase is thought to be the most likely cause of the rupture. High levels of carcinoembryonic antigen in pleural fluid are not necessarily indicative of a malignant lesion but may suggest the presence of a ruptured teratoma in patients with mediastinal tumors.




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Copyright © 1991 by The Society of Thoracic Surgeons.