Immature ovarian teratoma in an adolescent: a case report and review of the literature

2.50
Hdl Handle:
http://hdl.handle.net/2336/3418
Title:
Immature ovarian teratoma in an adolescent: a case report and review of the literature
Authors:
Einarsson, J I; Edwards, C L; Zurawin, R K
Citation:
J Pediatr Adolesc Gynecol 2004, 17(3):187-9
Issue Date:
2004
Abstract:
BACKGROUND: Benign cystic teratomas are relatively common tumors in reproductive age women, but can occur at any age. While the incidence of malignant elements in a teratoma is low (approximately 1-2%), the survival of patients with immature teratoma is poor. Definitive diagnosis is mandatory. CASE: We describe a case of a 13-year-old African American female, gravida 0, presenting with a large pelvic mass, determined to be a benign cystic teratoma by intra-operative frozen section. However, due to the size of the tumor and the preponderance of neural elements we performed a full surgical staging procedure (excluding hysterectomy and complete removal of adnexa). The final pathology report revealed foci of immature neural tissue, with a final diagnosis of an immature cystic teratoma Stage Ia. CONCLUSION: Foci of immature neural elements can be readily missed on frozen section, especially with a large tumor. Full surgical staging at the time of initial laparotomy is justified when encountering an apparently mature cystic teratoma with a preponderance of neural elements on frozen section.
Additional Links:
http://www.jpagonline.org/article/PIIS1083318804000919/abstract

Full metadata record

DC FieldValue Language
dc.contributor.authorEinarsson, J I-
dc.contributor.authorEdwards, C L-
dc.contributor.authorZurawin, R K-
dc.date.accessioned2006-07-12T10:32:01Z-
dc.date.available2006-07-12T10:32:01Z-
dc.date.issued2004-
dc.identifier.citationJ Pediatr Adolesc Gynecol 2004, 17(3):187-9en
dc.identifier.issn1083-3188-
dc.identifier.pmid15125905-
dc.identifier.doi10.1016/j.jpag.2004.03.039-
dc.identifier.urihttp://hdl.handle.net/2336/3418-
dc.description.abstractBACKGROUND: Benign cystic teratomas are relatively common tumors in reproductive age women, but can occur at any age. While the incidence of malignant elements in a teratoma is low (approximately 1-2%), the survival of patients with immature teratoma is poor. Definitive diagnosis is mandatory. CASE: We describe a case of a 13-year-old African American female, gravida 0, presenting with a large pelvic mass, determined to be a benign cystic teratoma by intra-operative frozen section. However, due to the size of the tumor and the preponderance of neural elements we performed a full surgical staging procedure (excluding hysterectomy and complete removal of adnexa). The final pathology report revealed foci of immature neural tissue, with a final diagnosis of an immature cystic teratoma Stage Ia. CONCLUSION: Foci of immature neural elements can be readily missed on frozen section, especially with a large tumor. Full surgical staging at the time of initial laparotomy is justified when encountering an apparently mature cystic teratoma with a preponderance of neural elements on frozen section.en
dc.language.isoenen
dc.publisherLippincott Williams & Wilkinsen
dc.relation.urlhttp://www.jpagonline.org/article/PIIS1083318804000919/abstracten
dc.subjectAdolescenten
dc.subjectDiagnosis, Differentialen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectLaparotomyen
dc.subjectNeoplasm Stagingen
dc.subjectOvarianen
dc.subjectNeoplasmsen
dc.subjectTeratomaen
dc.titleImmature ovarian teratoma in an adolescent: a case report and review of the literatureen
dc.typeArticleen
dc.identifier.journalJournal of pediatric and adolescent gynecologyen
dc.format.digYES-

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