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Trichoptysis: a pathognomonic presentation of anterior mediastinal teratoma
  1. Vijayakumar Varadharajan,
  2. Balasubramanian Venkitaraman,
  3. Banu Mahender and
  4. Srinath Ganesan
  1. Surgical Oncology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Vijayakumar Varadharajan; dr.varadharajan{at}gmail.com

Abstract

Germ cell tumours are usually found in the gonads, while the most common extragonadal site is the anterior mediastinum. When these tumours involve the tracheobronchial tree, patients present with trichoptysis or coughing up of hair. We present a rare case of a woman who presented with trichoptysis and was evaluated and diagnosed with benign mature teratoma of the anterior mediastinum with bronchopulmonary involvement. The patient underwent right anterolateral thoracotomy and complete surgical excision of the mass along with right upper bilobectomy. The patient is on regular follow-up and is asymptomatic.

  • Lung cancer (oncology)
  • Respiratory cancer
  • Gynecological cancer
  • Cardiothoracic surgery
  • Surgical oncology

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: VV, BM, SG. Guarantor name: VV. The following author gave final approval of the manuscript: BV.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.