Hairy sputum... Coughing up hair Trichoptysis (coughing out hair) is an rare clinical scenario. A 27 year old man presented to our clinic with a history of coughing up hair in the sputum for last two years. The CT scan suggested a mediastinal mass with peripheral calcification. Bronchoscopic examination showed a "hairy" growth in the middle lobe segmental bronchus. A case of Mediastinal cystic teratoma with bronchial communication, who subsequently underwent surgery. Teratoms are tumours originating from pluripotent stem cells and may show differentiation into structures originating from all three germinal layers. Hair as in this case, in an rare location. Saurabh Mittal Article for further reading: Mittal S, Madan K, Tiwari P. Hair in the bronchus. Arch Bronconeumol (Engl Ed). 2021 May;57(5):367. #bronchoscopy #oncology #interventional #interventionalpulmonology #mediastinum #lungcancer #teratoma #endoscopy #respiratorymedicine #pulmonology #postgraduate #internalmedicine #medicine
Karan, What an extraordinary case! The presence of hair in the bronchus due to a mediastinal cystic teratoma is certainly rare and fascinating. Considering the pluripotent nature of the cells involved, how often do you encounter such unusual differentiations in other organs or locations? Also, do you think there’s potential for earlier detection of such cases, perhaps through more advanced imaging techniques or biomarkers? By the way, I've recently shared some insights into how our brains manage complex processes like thoughts and actions—there might be some interesting parallels in how different systems in the body operate under unusual conditions. If you’re interested, feel free to check it out: https://lnkd.in/dZ-QGEC3. I'd love to hear your thoughts!
Very interesting case
Can such a teratoma cause chain reactions like encephalitis, such as in Dalmau's syndrome related to ovarian teratomas?
Rare and interesting, thank you for sharing
Very interesting case. it’s great to share. thank you
very interesting situation Dr. thanks for sharing
Thanks for sharing such information
Very helpful!
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