The discovery of dermoids in children is rare. This is particularly true of dermoid or teratoma of the mediastinum. There are nevertheless physical signs and certain chemical and roentgenologic procedures which materially aid in their recognition. The following case of mediastinal teratoma in a child 7 months old presented striking physical and roentgenologic findings which led to a conclusive preoperative diagnosis.
REPORT OF A CASE
History.—A 7 month old white girl was referred to the department of pediatrics on Oct. 16, 1936, because of loss of weight, dyspnea and cough of three months' duration. There had been no vomiting and no record of fever in this period.The patient was the youngest of four children living and well. There was no family history of tuberculosis or syphilis. The birth was normal, and the initial weight was 7 pounds (3,175 Gm.). She had been on a formula from birth. This