Intrapericardial Mature Cystic Teratoma in an Adult: Case Presentation
Article first published online: 24 SEP 2012
© 2012 Wiley Periodicals, Inc.
Volume 36, Issue 1, pages 6–9, January 2013
How to Cite
Cohen, R., Mirrer, B., Loarte, P. and Navarro, V. (2013), Intrapericardial Mature Cystic Teratoma in an Adult: Case Presentation. Clin Cardiol, 36: 6–9. doi: 10.1002/clc.22051
- Issue published online: 11 JAN 2013
- Article first published online: 24 SEP 2012
- Manuscript Revised: 1 AUG 2012
- Manuscript Received: 22 MAY 2012
Cardiac Teratoma is a tumor of very rare occurrence in adult population. Here we report a case in a Caucasian male with history of Human immunodeficiency virus infection where the symptom as presentation was recurrent episodes of tachycardia. The chest radiograph showed a lesion in the right heart border and subsequent investigation revealed an intrapericardial lesion, which was demonstrated to be a pericardial teratoma diagnosed by histopathology.
In this case the initial differential diagnosis included lymphoma or an infectious organism as possible causes in a immunocompromised patient. Cardiac teratomas are among the less common types of cardiac tumors being more frequent in child population and around 1% of all the cardiac tumors in adults. Imaging studies are very helpful. CT and MRI are the best due to their resolution and ability to assess the relationship of the mass with the surrounding structures. Echocardiogram in also helpful determining the presence of pericardial effusion because cardiac teratomas are most of the time present in the pericardium. The final diagnosis is mostly made after surgical excision and this is the most effective treatment because they are relatively resistant to chemotherapy and radiotherapy.
The authors have no funding, financial relationships, or conflicts of interest to disclose.