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Ann Thorac Surg 1994;58:545-548
© 1994 The Society of Thoracic Surgeons

Articles

Benign mediastinal teratoma masquerading as a large multiloculated effusion

Lary A. Robinson, MD*, Layton F. Rikkers, MD, John R. Dobson, MD

Departments of Surgery and Pathology, University of Nebraska Medical Center, Omaha, Nebraska USA

Accepted for publication November 11, 1993.

* Address reprint requests to Dr Robinson, Thoracic Oncology Program, H. Lee Moffitt Cancer Center, 12902 Magnolia Dr, Tampa, FL 33612-9497.

Benign mediastinal teratomas are uncommon germ cell tumors often discovered while still asymptomatic. Almost all arise in the anterosuperior mediastinal compartment, and most symptoms, when present, result from compression of adjacent structures. We report a case of a large teratoma arising from the anterior mediastinum that presented a confusing clinical picture of a multiloculated pleural effusion. It was successfully treated by surgical excision, with no long-term recurrence.






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