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Immature gastric teratoma: a rare tumour
Muhammad Sharif1, Bilal Mirza, Lubna Ijaz
1Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health Lahore, Pakistan.
Insights
This case report details a rare immature gastric teratoma in an infant, presenting as a large abdominal mass. Surgical excision and histopathology confirmed the diagnosis, highlighting the tumor's unusual origin and immaturity.
Area of Science:
- Pediatric Surgery
- Pediatric Oncology
- Gastrointestinal Pathology
Background:
- Gastric teratomas are exceptionally rare pediatric neoplasms.
- They typically manifest as palpable upper abdominal masses.
Observation:
- A case of a one-and-a-half-month-old male infant presenting with an extensive abdominal mass was documented.
- Abdominal ultrasound revealed a large mass with both solid and cystic features, while CT scan identified calcifications.
- Preoperative imaging suggested a teratoma, but its specific gastric origin was uncertain.
Findings:
- The mass was surgically removed, including a portion of the stomach wall.
- Histopathological examination confirmed the diagnosis of a grade-3 immature gastric teratoma.
- This represents a rare instance of a gastric teratoma, particularly an immature subtype.
Implications:
- This case underscores the importance of considering gastric teratomas in the differential diagnosis of pediatric abdominal masses.
- The successful surgical management highlights the potential for complete resection.
- Reporting rare immature gastric teratomas contributes to a better understanding of these unusual pediatric tumors.
Abstract:
Gastric teratomas are very rare tumours in children. They usually present with a palpable mass in the upper abdomen. We report a case of gastric teratoma in one and half month old male infant who presented with a palpable mass in abdomen, extending from epigastrium to the pelvis. Ultrasound of abdomen revealed a huge mass with solid and cystic components. CT scan delineated calcifications in the mass. The preoperative diagnosis was a teratoma but not specifically gastric one. The mass was excised completely with seromuscular layer of the stomach wall. The histopathology confirmed it to be grade-3 immature gastric teratoma. The rarity of the origin of teratoma in addition to its immature variety prompted us to report the case.
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