Abstract
BackgroundIntrapulmonary teratoma (IPT) is a rare type of extra gonadal teratoma which often presents with non-specific symptoms and can be misdiagnosed as other diseases. Here we report a patient with IPT which was initially misdiagnosed as lung hydatid cyst versus abscess.Case presentationWe report an intrapulmonary teratoma in a 27-year-old female presenting with persistent chest pain and dyspnea since a few years prior to her admission with associated symptoms of cough and fever. Chest x-ray only showed left side massive pleural effusion and computed tomography scan of the lungs was suggestive of hydatid cyst or a lung abscess. She underwent lobectomy and postoperative histopathological study revealed IPT as the final diagnosis.ConclusionDue to the non-specific symptoms and rarity, IPT can be easily misdiagnosed at first. It is essential that physicians take into account the possibility of IPT when approaching a new case of lung mass.
Highlights
Intrapulmonary teratoma (IPT) is a rare type of extra gonadal teratoma which often presents with non-specific symptoms and can be misdiagnosed as other diseases
It is essential that physicians take into account the possibility of IPT when approaching a new case of lung mass
Extra-gonadal germ cell tumors are considered rare with mediastinum as the most common site [4], but can arise in other areas such as the head and neck [5], retroperitoneum, sacrococcygeal region and on rare occasions the lung, which is considered as an intrapulmonary teratoma (IPT) [6]
Summary
Intrapulmonary teratoma (IPT) is a rare type of extra gonadal teratoma which often presents with non-specific symptoms and can be misdiagnosed as other diseases. Chest xray only showed left side massive pleural effusion and computed tomography scan of the lungs was suggestive of hydatid cyst or a lung abscess She underwent lobectomy and postoperative histopathological study revealed IPT as the final diagnosis. Case presentation A 27-year-old female visited our clinic with an unremarkable past medical history, with the chief complaint of progressive dyspnea and chest pain since 2 weeks prior to admission, which was recently accompanied by non-productive cough, chills, fever, and orthopnea. She reported a mild, episodic, and occasionally pleuritic chest pain that radiated to back and left upper extremity. She reported a previous admission a few years ago due to dyspnea and chest pain in which after normal cardiac evaluation, was discharged with no established diagnosis
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