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which was totally opaque on minimal exposure chest X-ray&#46; Thoracocentesis was performed immediately&#44; and a left chest tube was left in place to reduce dyspnea&#44; producing 1500 cc of serous-sanguineous pleural fluid&#46; Corticosteroid &#40;betamethasone&#41; was administered to accelerate fetal lung maturation&#46; Three days later&#44; after stopping premature labor&#44; a Cesarean section was successfully performed with the birth of a healthy boy&#46; Chest computed tomography &#40;CT&#41; and magnetic resonance imaging &#40;MRI&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; revealed a mediastinal tumor occupying the whole left hemithorax&#44; with massive right mediastinal shift&#46; The tumor contained cystic spaces and discrete areas of soft tissue and fat&#44; consistent with probable mature teratoma&#46; Serum alpha-fetoprotein &#40;AFP&#41; and human chorionic gonadotropin &#40;hCG&#41; levels were normal&#46; During posterolateral thoracotomy&#44; the giant tumor was seen to have adhesions to the left lung&#44; which was completely collapsed&#46; The tumor contained organoid structures &#40;hair&#41;&#44; consistent with teratoma &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#41;&#46; Surprisingly&#44; good lung re-expansion was achieved after full tumor resection &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>c&#41;&#46; Histological diagnosis was mature teratoma&#46; Positive estrogen and progesterone receptors were detected in resected tumor tissue&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Sixty percent of teratomas are located in the anterior mediastinum&#44; and 88&#37; are mature&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Mature teratoma is often asymptomatic and protrudes from one hemithorax&#46; On CT&#44; it is seen as a mass containing fat&#44; calcifications or cystic changes&#46; The benign nature of these lesions is confirmed by lack of activity on FDG-PET&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> MRI is useful for obtaining an accurate map of surrounding anatomical structures for surgical resection of the tumor&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The only curative treatment available for teratoma is surgical intervention&#44; usually performed via sternotomy or thoracotomy&#44; to relieve symptoms of compression and prevent transformation to malignancy&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Correct diagnosis and treatment are based on total tumor resection&#44; although complete resection is not essential&#44; since the local recurrence rate is low&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> Adjuvant treatment is unnecessary&#44; as prognosis for mature teratoma is good&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">In pregnant women&#44; radiation applied to the chest is considered safe if the abdomen is protected&#44;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> so chest X-ray is formally indicated to avoid misdiagnosis of unexplained dyspnea in a pregnant woman&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">This large chest tumor causes decline in lung function&#44; and pleural effusion may increase due to hormone changes and mechanical factors associated with pregnancy&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">To conclude&#44; the appearance of these tumors during pregnancy is likely to involve real diagnostic and therapeutic issues&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of Interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have no conflict of interests to declare&#46;</p></span></span>"
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                          "autores" => array:6 [
                            0 => "C&#46; De Bournonville"
                            1 => "S&#46; Maugendre"
                            2 => "C&#46; Belleguic"
                            3 => "T&#46; Corbineau"
                            4 => "H&#46; Lena"
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Letter to the Editor
Giant Teratoma Presenting With Pregnancy and Causing Respiratory Failure
Teratoma gigante manifestado en el embarazo y causante de insuficiencia respiratoria
Massine El Hammoumia,c,
Corresponding author
hamoumimassine@hotmail.fr

Corresponding author.
, Abdelatif Benosmanb,c, El Hassane Kabiria,c
a Department of Thoracic Surgery, Mohamed V Military University Hospital, Rabat, Morocco
b Department of Thoracic Surgery, Avicenne Hospital, Rabat, Morocco
c Centre d’étude doctorale des sciences de la vie et de la santé, Faculté de médecine, Université Mohammed V Souissi, Rabat, Morocco
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Pregnancy is associated with certain specific physiological adaptations and some atypical symptoms can be misdiagnosed during this period&#44; leading to serious complications&#44; particularly if pregnancy is associated with tumor disease&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">We report the case of a 21-year-old pregnant woman&#44; admitted to the emergency department of our hospital with severe chronic dyspnea&#44; minimal hemoptysis and premature labor&#46; She was in week 28 of gestation&#44; gravida 1&#44; para 0&#46; Gynecological examination revealed dilated external cervical orifice&#46; SaO<span class="elsevierStyleInf">2</span> was 90&#37; and blood pressure 90<span class="elsevierStyleHsp" style=""></span>mmHg&#47;60<span class="elsevierStyleHsp" style=""></span>mmHg&#46; Chest auscultation revealed absence of respiratory sounds in the left hemithorax&#44; which was totally opaque on minimal exposure chest X-ray&#46; Thoracocentesis was performed immediately&#44; and a left chest tube was left in place to reduce dyspnea&#44; producing 1500 cc of serous-sanguineous pleural fluid&#46; Corticosteroid &#40;betamethasone&#41; was administered to accelerate fetal lung maturation&#46; Three days later&#44; after stopping premature labor&#44; a Cesarean section was successfully performed with the birth of a healthy boy&#46; Chest computed tomography &#40;CT&#41; and magnetic resonance imaging &#40;MRI&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; revealed a mediastinal tumor occupying the whole left hemithorax&#44; with massive right mediastinal shift&#46; The tumor contained cystic spaces and discrete areas of soft tissue and fat&#44; consistent with probable mature teratoma&#46; Serum alpha-fetoprotein &#40;AFP&#41; and human chorionic gonadotropin &#40;hCG&#41; levels were normal&#46; During posterolateral thoracotomy&#44; the giant tumor was seen to have adhesions to the left lung&#44; which was completely collapsed&#46; The tumor contained organoid structures &#40;hair&#41;&#44; consistent with teratoma &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#41;&#46; Surprisingly&#44; good lung re-expansion was achieved after full tumor resection &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>c&#41;&#46; Histological diagnosis was mature teratoma&#46; Positive estrogen and progesterone receptors were detected in resected tumor tissue&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Sixty percent of teratomas are located in the anterior mediastinum&#44; and 88&#37; are mature&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Mature teratoma is often asymptomatic and protrudes from one hemithorax&#46; On CT&#44; it is seen as a mass containing fat&#44; calcifications or cystic changes&#46; The benign nature of these lesions is confirmed by lack of activity on FDG-PET&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> MRI is useful for obtaining an accurate map of surrounding anatomical structures for surgical resection of the tumor&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The only curative treatment available for teratoma is surgical intervention&#44; usually performed via sternotomy or thoracotomy&#44; to relieve symptoms of compression and prevent transformation to malignancy&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Correct diagnosis and treatment are based on total tumor resection&#44; although complete resection is not essential&#44; since the local recurrence rate is low&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> Adjuvant treatment is unnecessary&#44; as prognosis for mature teratoma is good&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">In pregnant women&#44; radiation applied to the chest is considered safe if the abdomen is protected&#44;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> so chest X-ray is formally indicated to avoid misdiagnosis of unexplained dyspnea in a pregnant woman&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">This large chest tumor causes decline in lung function&#44; and pleural effusion may increase due to hormone changes and mechanical factors associated with pregnancy&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">To conclude&#44; the appearance of these tumors during pregnancy is likely to involve real diagnostic and therapeutic issues&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of Interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have no conflict of interests to declare&#46;</p></span></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; El Hammoumi M&#44; Benosman A&#44; Kabiri EH&#46; Teratoma gigante manifestado en el embarazo y causante de insuficiencia respiratoria&#46; Arch Bronconeumol&#46; 2015&#59;51&#58;250&#8211;251&#46;</p>"
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                      "titulo" => "T&#233;ratome mature du m&#233;diastin&#58; &#224; propos de deux cas"
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                        0 => array:2 [
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                          "autores" => array:6 [
                            0 => "C&#46; De Bournonville"
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                            2 => "C&#46; Belleguic"
                            3 => "T&#46; Corbineau"
                            4 => "H&#46; Lena"
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                        "tituloSerie" => "Rev Pneumol Clin"
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                        "volumen" => "55"
                        "paginaInicial" => "177"
                        "paginaFinal" => "180"
                        "link" => array:1 [
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                      "titulo" => "Growing teratoma syndrome of the ovary&#58; a case report with FDG-PET findings"
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                          "etal" => false
                          "autores" => array:3 [
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                            2 => "S&#46; Minobe"
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                    0 => array:2 [
                      "doi" => "10.1111/j.1447-0756.2010.01439.x"
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                        "tituloSerie" => "J Obstet Gynaecol Res"
                        "fecha" => "2011"
                        "volumen" => "37"
                        "paginaInicial" => "926"
                        "paginaFinal" => "932"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21450035"
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                      "titulo" => "Giant mediastinal teratoma presenting with paroxysmal atrial fibrillation"
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                        0 => array:2 [
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                          "autores" => array:4 [
                            0 => "C&#46; Asteriou"
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                    0 => array:2 [
                      "doi" => "10.1510/icvts.2010.253039"
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                        "tituloSerie" => "Interact Cardiovasc Thorac Surg"
                        "fecha" => "2011"
                        "volumen" => "12"
                        "paginaInicial" => "308"
                        "paginaFinal" => "310"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21075832"
                            "web" => "Medline"
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                    ]
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                ]
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              "identificador" => "bib0045"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Germ cell tumors of the mediastinum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46; Karangelis"
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                            2 => "V&#46; Liouras"
                            3 => "N&#46; Tsilimingas"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1510/icvts.2010.249250A"
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                        "tituloSerie" => "Interact Cardiovasc Thorac Surg"
                        "fecha" => "2010"
                        "volumen" => "11"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21097461"
                            "web" => "Medline"
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                    0 => array:2 [
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                          "autores" => array:2 [
                            0 => "E&#46;K&#46; Osei"
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                      "doi" => "10.1259/bjr.72.860.10624343"
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                        "tituloSerie" => "Br J Radiol"
                        "fecha" => "1999"
                        "volumen" => "72"
                        "paginaInicial" => "773"
                        "paginaFinal" => "780"
                        "link" => array:1 [
                          0 => array:2 [
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Article information
ISSN: 15792129
Original language: English
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