Abstract
Mature benign cystic teratomas, or dermoid cysts, usually arise in the ovary. They can, however, occur at other sites, including the mediastinum. Malignant change within dermoid cysts is a rare but recognized complication, occurring in 1%–2% of cases. A case of malignant change within a mediastinal dermoid cyst occurring 19 years after initial presentation is described.
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