Chin-Chih Chang, MD, Yih-Leong Chang, MD, Yung-Chie Lee, MD, PhD

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Cystic Malignant Teratoma With Early Recurrence After Intraoperative Spillage Chin-Chih Chang, MD, Yih-Leong Chang, MD, Yung-Chie Lee, MD, PhD The Annals of Thoracic Surgery Volume 86, Issue 6, Pages 1971-1973 (December 2008) DOI: 10.1016/j.athoracsur.2008.05.003 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Preoperative chest computed tomographic (CT) scan showed a lobulated mass with cystic and calcified solid components in the right-sided paratracheal mediastinum. (B) The follow-up chest CT scan 3 months after operation demonstrated a large mediastinal mass in the right-sided paratracheal region with parietal pleural nodules and encasement of right brachiocephalic vein. The Annals of Thoracic Surgery 2008 86, 1971-1973DOI: (10.1016/j.athoracsur.2008.05.003) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Histologic finding of the tumor displayed a mature teratoma composed chiefly of columnar epithelium, cartilage, and fibro-adipose tissue. (Hematoxylin and eosin; ×33.) (B) A small solid area of the tumor disclosed a poorly differentiated gastrointestinal adenocarcinoma, which was strongly immunoreactive to cytokeratin 20. (Avidin Biotin Complex method; ×33.) The Annals of Thoracic Surgery 2008 86, 1971-1973DOI: (10.1016/j.athoracsur.2008.05.003) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions