ArticleIndian journal of thoracic and cardiovascular surgery2025
Cardiac tamponade and massive pleural effusion during pregnancy: a case of mediastinal malignant teratoma.
Article in Indian journal of thoracic and cardiovascular surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Mediastinal teratomas are germ cell tumors which account for 8-13% of mediastinal masses. Early diagnosis of malignant teratoma is the key point of effective patient management. This report presents a rare case of a mediastinal malignant teratoma in a 38-year-old pregnant woman, complicated by cardiac tamponade and massive pleural effusion. The patient experienced dyspnea on exertion and orthopnea in her 29-week gestation. Thoracic magnetic resonance imaging revealed a tumor in the anterior mediastinal region which compressed the superior vena cava. Biopsy of the mass and analysis of the pericardial fluid showed the presence of malignant cells, and histopathological evaluation verified the diagnosis of malignant teratoma. The patient subsequently underwent neoadjuvant chemotherapy; however, the patient continued to experience persistent shortness of breath and the pregnancy was terminated at 33 weeks of gestation.
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