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Mature Teratoma at Left Lumbar Region in an Infant: A Case Report
1Professor and Head, Department of Pediatric Surgery, Gandhi Medical College and Associated Kamla Nehru and Hamidia Hospitals , Bhopal, Madhya Pradesh, India .
Insights
This case report highlights a rare lumbar teratoma in an infant. Surgical removal was successful, emphasizing the importance of considering unusual locations for pediatric teratomas.
Area of Science:
- Pediatric Surgery
- Oncology
- Developmental Biology
Background:
- Teratomas are germ cell tumors that can occur in various locations, with sacrococcygeal and gonadal sites being most common in children.
- Unusual locations for teratomas, though less frequent, present unique diagnostic and surgical challenges.
Observation:
- A six-month-old male infant presented with a large, gradually increasing left lumbar swelling present since birth.
- Clinical examination revealed an irregular, soft to firm mass crossing the midline.
- Radiological imaging demonstrated a 9.6 x 7.5 cm mass with bony elements and associated spina bifida at L1-L2 levels.
Findings:
- Computed Tomography (CT) scan findings were indicative of a mature teratoma.
- Histopathological examination of the surgically excised tumor confirmed it as a mature teratoma.
- The mass was completely excised surgically without complications.
Implications:
- This case underscores the possibility of mature teratomas occurring in rare locations like the lumbar region in pediatric patients.
- Early diagnosis and complete surgical excision are crucial for favorable outcomes in pediatric teratomas.
- The case highlights the need for thorough follow-up, even after successful surgical intervention.
Abstract:
Common location of teratomas in children are sacrococcygeal, gonadal, mediastinal and retroperitoneal, but teratomas may also occur at very unusual locations. A six-month-old boy presented with a large swelling at his left lumbar region. He presented with gradually increasing lump at his back, involving more on left lumbar region and midline since birth. Clinical examination revealed a solitary, non-tender, soft to firm, irregular mass, occupying more on his left lumbar and midline region and also crossing the midline. Radiological investigations revealed a well defined mass of 9.6 x 7.5cm, with bony elements and spina bifida at L1 and L2 levels. His Computed Tomography (CT) scan finding was consistent with mature teratoma. Complete surgical excision of the tumour was done without any difficulties. Histology of the excised tumour was conclusive of mature teratoma. His post-operative period was excellent, but he lost to follow-up after discharge.
