We describe the unique case of a primary pulmonary malignant teratoma
with yolk sac elements, associated with hematologic neoplasia. This 20
-year-old male was admitted with complaints of fever, right-sided ches
t pain, dry cough, and hemoptysis. Necropsy revealed a mass in the rig
ht middle and upper lobe which microscopically was a malignant teratom
a with yolk sac element. The associated hematologic neoplasia was a my
elofibrosis, cellular phase, with myeloid metaplasia in liver, spleen,
hilar lymph nodes, left adrenal gland, and lower lobe of the right lu
ng.