Pediatric presentation of a large intrathoracic mass
© Springer-Verlag London Ltd 2009
Received: 16 April 2009
Accepted: 2 May 2009
Published: 30 May 2009
The presence of calcified density components led to the diagnosis of teratoma. The initial diagnosis of reactive airway disease in this 4-year-old with no history of atopy or previous airway disease should lead to further investigation. A chest X-ray may have allowed for the correct diagnosis early in the presentation. Mediastinal tumors are classified as posterior, middle, superior, and anterior. Tumors specifically of the anterior region consist of teratomas, dermoid cysts, and hemangiomas. Anterior and superior mediastinal tumors require admission. Concern and special attention should be paid to airway management. If intubation is required, advanced airway techniques may need to be utilized. Bronchoscopic intubation may be necessary especially if there is compromise of the airway. “Administering anaesthesia to a child with an anterior mediastinal mass may lead to respiratory or circulatory collapse, even in those without symptoms .” Evaluations by hematology/oncology and pediatric surgery are warranted.