When Teratoma Masquerades: A Rare Case of Intrapleural Mature Cystic Teratoma Mimicking Tuberculous Empyema
ABSTRACT Teratomas are germ cell tumours generally gonadal in origin and very rare, arising from extra gonadal tissue. The most common extragonadal teratomas are mediastinal, and the majority are benign. We report a case of a 49‐year‐old lady with recurrent right complex pleural effusion occurring a...
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| Format: | Article |
| Language: | English |
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Wiley
2025-06-01
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| Series: | Respirology Case Reports |
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| Online Access: | https://doi.org/10.1002/rcr2.70252 |
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| author | Nik Nuratiqah Nik Abeed Ng Boon Hau Nor Safiqah Sharil Andrea Ban Yu Lin Marfua'h Nik Ezzamudin Hairulfaizi Haron |
| author_facet | Nik Nuratiqah Nik Abeed Ng Boon Hau Nor Safiqah Sharil Andrea Ban Yu Lin Marfua'h Nik Ezzamudin Hairulfaizi Haron |
| author_sort | Nik Nuratiqah Nik Abeed |
| collection | DOAJ |
| description | ABSTRACT Teratomas are germ cell tumours generally gonadal in origin and very rare, arising from extra gonadal tissue. The most common extragonadal teratomas are mediastinal, and the majority are benign. We report a case of a 49‐year‐old lady with recurrent right complex pleural effusion occurring a month after the completion of treatment for tuberculous empyema. Imaging from ultrasound of the thorax and contrasted enhanced computed tomography (CECT) thorax revealed multiseptated and loculated effusion in the thorax without any mediastinal and lung involvement. Surprisingly, pleural fluids were negative for tuberculosis. Despite chest drainage and initial treatment for bacterial empyema without improvement, she underwent video assisted thoracoscopy and decortication of the right pleura, and histopathological analysis revealed a mature cystic teratoma. She was discharged in good health and under yearly surveillance. The rarity of intrapleural mature cystic teratoma and its misleading presentation due to the concurrent tuberculous empyema make this case noteworthy. |
| format | Article |
| id | doaj-art-c3d5a32637b54ca19afad8a305c8b5a6 |
| institution | OA Journals |
| issn | 2051-3380 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj-art-c3d5a32637b54ca19afad8a305c8b5a62025-08-20T02:22:05ZengWileyRespirology Case Reports2051-33802025-06-01136n/an/a10.1002/rcr2.70252When Teratoma Masquerades: A Rare Case of Intrapleural Mature Cystic Teratoma Mimicking Tuberculous EmpyemaNik Nuratiqah Nik Abeed0Ng Boon Hau1Nor Safiqah Sharil2Andrea Ban Yu Lin3Marfua'h Nik Ezzamudin4Hairulfaizi Haron5Respiratory Unit, Faculty of Medicine Universiti Kebangsaan Malaysia Cheras MalaysiaRespiratory Unit, Faculty of Medicine Universiti Kebangsaan Malaysia Cheras MalaysiaFaculty of Medicine and Health Sciences Universiti Sains Islam Antarabangsa Kuala Lumpur MalaysiaRespiratory Unit, Faculty of Medicine Universiti Kebangsaan Malaysia Cheras MalaysiaOncology Department, Faculty of Medicine Universiti Kebangsaan Malaysia Cheras MalaysiaCardiothoracic Unit, Faculty of Medicine Universiti Kebangsaan Malaysia Cheras MalaysiaABSTRACT Teratomas are germ cell tumours generally gonadal in origin and very rare, arising from extra gonadal tissue. The most common extragonadal teratomas are mediastinal, and the majority are benign. We report a case of a 49‐year‐old lady with recurrent right complex pleural effusion occurring a month after the completion of treatment for tuberculous empyema. Imaging from ultrasound of the thorax and contrasted enhanced computed tomography (CECT) thorax revealed multiseptated and loculated effusion in the thorax without any mediastinal and lung involvement. Surprisingly, pleural fluids were negative for tuberculosis. Despite chest drainage and initial treatment for bacterial empyema without improvement, she underwent video assisted thoracoscopy and decortication of the right pleura, and histopathological analysis revealed a mature cystic teratoma. She was discharged in good health and under yearly surveillance. The rarity of intrapleural mature cystic teratoma and its misleading presentation due to the concurrent tuberculous empyema make this case noteworthy.https://doi.org/10.1002/rcr2.70252cysticintrapleuralmatureteratoma |
| spellingShingle | Nik Nuratiqah Nik Abeed Ng Boon Hau Nor Safiqah Sharil Andrea Ban Yu Lin Marfua'h Nik Ezzamudin Hairulfaizi Haron When Teratoma Masquerades: A Rare Case of Intrapleural Mature Cystic Teratoma Mimicking Tuberculous Empyema Respirology Case Reports cystic intrapleural mature teratoma |
| title | When Teratoma Masquerades: A Rare Case of Intrapleural Mature Cystic Teratoma Mimicking Tuberculous Empyema |
| title_full | When Teratoma Masquerades: A Rare Case of Intrapleural Mature Cystic Teratoma Mimicking Tuberculous Empyema |
| title_fullStr | When Teratoma Masquerades: A Rare Case of Intrapleural Mature Cystic Teratoma Mimicking Tuberculous Empyema |
| title_full_unstemmed | When Teratoma Masquerades: A Rare Case of Intrapleural Mature Cystic Teratoma Mimicking Tuberculous Empyema |
| title_short | When Teratoma Masquerades: A Rare Case of Intrapleural Mature Cystic Teratoma Mimicking Tuberculous Empyema |
| title_sort | when teratoma masquerades a rare case of intrapleural mature cystic teratoma mimicking tuberculous empyema |
| topic | cystic intrapleural mature teratoma |
| url | https://doi.org/10.1002/rcr2.70252 |
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