Mediastinal epidermoid cyst in an old man with recurrent pneumonia: A case report

Document Type : Case Report

Authors

1 Medical student, Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Resident of Radiology, Mashhad University of Medical Sciences, Mashhad, Iran

3 Radiologist, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Mediastinal epidermoid cyst is a rare condition that is considered as a congenital disorder. Various manifestations from asymptomatic cases to serious symptoms may be found in these patients. However, some cases may be diagnosed incidentally. Here, we report an old man with recurrent pneumonia who demonstrated symptoms of respiratory distress and chest pain. The high resolution computed tomography (HRCT) and subsequent magnetic resonance imaging (MRI) showed a hypodense mass with internal calcification. CT-scan guided transthoracic needle biopsy confirmed diagnosis of mediastinal epidermoid cyst. The mass was resected through open surgery and patient’s symptoms were subsided.
 

Keywords

References

1.             Esme H, Eren S, Sezer M, Solak O. Primary mediastinal cysts: clinical evaluation and surgical results of 32 cases. Tex Heart I J. 2011;38(4):371.
2.             Kalhor N, Moran C. Benign Tumors and Tumor-Like Conditions.  Mediastinal Pathology: Springer; 2019. p. 41-74.
3.             Fernandes VLG, Pinto NMDG, Barreto O, Furtado J, Basuroy S. Epidermoid Cyst of the Auricle: A Common Cyst at a Rare Site. Int J Otolaryngol Head Neck Surg. 2018;7(6):344-9.
4.             Duc VT, Thuy TTM, Bang HT, Vy TT. Imaging findings of three cases of large mediastinal mature cystic teratoma. Radiol Case Rep. 2020;15(7):1058-65.
5.             Marchiori E, Hochhegger B, Zanetti G. Anterior mediastinal mass. J Bras Pneumol. 2018;44(1):3-.
6.             Sloan KA, Lakhoo K. Mediastinal Epidermoid Cyst in a 5-Year-Old Girl. European j pediatr surg rep. 2018;6(01):e24-e6.
7.             Patel G, Lee S, Madedor O, Liu Y. Heart Attack or Tumor? A Case Report of Incidental Mediastinal Mass. Arch Intern Med Res. 2020;3:114-8.
8.             Rodrigues C, Afonso A, Fragata J. Epidermoid Thymic Cyst-A Very Rare Mediastinal Mass. Rev Port Cir Cardiotorac Vasc. 2019;26(4):267-8.
9.             Nalladaru Z, Mbahi M, Wessels A. Epidermoid cyst—a rare mediastinal mass. Indian J Surg. 2015;77(1):19-20.
10.          Sameh IS, Gewaeli NN, Hamza UA, ElSaid Awadalla MM. Epidermoid cyst radiologically mistaken as a left sided subpulmonic effusion. Interact Cardiovasc Thorac Surg. 2003;2(3):364-6.
11.          Sharma N, Sharma A, Bajaj M. Case report: Epidermoid cyst misdiagnosed as a loculated pericardial effusion. Indian j radiol imag. 2008;18(4):319.
12.          Madan R, Ratanaprasatporn L, Ratanaprasatporn L, Carter BW, Ackman JB. Cystic mediastinal masses and the role of MRI. Clin Imag. 2018;50:68-77.
13.          Balasundaram P, Garg A, Prabhakar A, Joseph Devarajan LS, Gaikwad SB, Khanna G. Evolution of epidermoid cyst into dermoid cyst: Embryological explanation and radiological-pathological correlation. Neuroradiol J. 2019;32(2):92-7.
 
 
Journal of Cardio-Thoracic Medicine
Volume 8, Issue 3
September 2020
Pages 666-669

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