Evidence map›Paper›PMID 41972214›Full record

ArticleRespirology case reports2026

A Rare Presentation of Teratocarcinosarcoma as a Carinal Mass With Review of Literature.

Gittwa Kottangal, Vishnu Gopalakrishnan, Binil Salam, Avinash Murugan, Supriya Ranjith, Pramathakala Mettak, Vishnu Suresh

Abstract read
In one paragraph

Article in Respirology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Gittwa KottangalDepartment of Pathology Aster MIMS Hospital Calicut India.
Vishnu GopalakrishnanDepartment of Interventional Pulmonology Aster MIMS Hospital Kannur India.ORCID https://orcid.org/0000-0002-6857-5391
Binil SalamDepartment of Interventional Pulmonology Aster MIMS Hospital Kannur India.
Avinash MuruganDepartment of Interventional Pulmonology Aster MIMS Hospital Kannur India.
Supriya RanjithDepartment of Interventional Pulmonology Aster MIMS Hospital Kannur India.
Pramathakala MettakDepartment of Interventional Pulmonology Aster MIMS Hospital Kannur India.ORCID https://orcid.org/0000-0002-9479-2357
Vishnu SureshDepartment of Interventional Pulmonology Aster MIMS Hospital Kannur India.ORCID https://orcid.org/0009-0009-3315-6339

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Teratocarcinosarcoma (TCS) is a rare, highly aggressive malignant neoplasm composed of epithelial, mesenchymal and neuroectodermal elements, occurring almost exclusively in the sinonasal region. Primary involvement of the tracheobronchial tree or carina has not been previously reported. We describe a 55-year-old male chronic smoker who presented with cough, progressive dyspnea and haemoptysis. Computed tomography revealed a lobulated soft-tissue mass in the distal trachea overhanging the carina, extending into both main bronchi, causing significant airway obstruction. Bronchoscopy demonstrated greater than 80% bilateral luminal occlusion, necessitating urgent endobronchial debulking using rigid bronchoscopy, snare electrocautery, and cryotherapy. Histopathology with immunohistochemistry confirmed teratocarcinosarcoma. Positron emission tomography-computed tomography (PET-CT) showed metabolically active mediastinal and hilar lymph nodes. The patient was treated with chemoradiotherapy. Follow-up bronchoscopy at 6 months showed no recurrence, and the patient remains asymptomatic under surveillance for 4 years. This case represents the first reported carinal presentation of teratocarcinosarcoma, expands the anatomical spectrum of TCS and emphasizes the value of multimodality treatment for sustained disease control.

Indexed as

airway obstructioncarinaendobronchial debulkingmultimodality treatmentteratocarcinosarcoma

Identifiers

PMID41972214
PMCPMC13069985

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.