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Year : 2014  |  Volume : 1  |  Issue : 3  |  Page : 157-159

Paraparesis and pleural effusion in a young patient: A road less travelled

1 Departments of Medicine, Malda Medical College, Malda, India
2 Department of Neurology, Nilratan Sircar Medical College and Hospital, Kolkata, India
3 Departments of Medicine College of Medicine and Sagore Dutta Hospital, Kolkata, India
4 Departments of Anesthesiology, Nilratan Sircar Medical College and Hospital, Kolkata, India
5 Departments of Anesthesiology, Murshidabad Medical College and Hospital, Berhampore, India
6 Department of Medicine, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India

Correspondence Address:
Kaushik Ghosh
Flat 3B, Padma Apartment, 110 Dr. M. N. Saha Road, Kolkata - 700 074
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2384-5147.138951

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Intrapulmonary teratoma is a rare tumor of the lung, which is scarcely reported to have metastasis at presentation. Here, we report a case of a 14-year-old patient admitted with paraparesis and heaviness of the right side of the chest and was found to have compressive myelopathy along with pleural effusion. He had elevated alpha fetoprotein and beta human chorionic gonadotropin. Imaging revealed a heterogeneous, massive space lesion occupying the right hemithorax and collapse of D12 vertebra with altered marrow signal causing extradural spinal compression. Cytopathology from the tumor revealed immature teratoma cells. The patient was diagnosed as a case of intrapulmonary teratoma with vertebral metastasis. He was started on bleomycin, etoposide, cyclophosphamide chemotherapy and spinal irradiation, which was unsuccessful.

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