Abstract
Large thoracic tumors behave in a similar manner to an enraged bull in a china shop when they grow, despite treatment with neoadjuvant chemotherapy (NACT). Management strategies should be tailored to meet the challenges posed by the rapidity of growth and enormity of size of these giants. We report a case of a patient with large and heavy malignant mediastinal teratoma, in which the intensity of compressive features caused by spiraling growth, despite NACT, necessitated urgent surgery using a combination of incisions that were individually inadequate and perilous for safe tumor removal.
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