An endodermal sinus tumor arising from a mature cystic teratoma in the retroperitoneum in a child: is a mature teratoma a premalignant condition?

Abstract:

:We herein report an 18-month-old girl who presented with a retroperitoneal mature teratoma that later developed into an endodermal sinus tumor. Her symptoms included an expanding abdominal girth. The serum levels of alpha-fetoprotein were moderately elevated. The excised specimen was a benign mature cystic retroperitoneal teratoma measuring 18 x 11 x 8 cm in size. A hemorrhagic focus measuring 4 cm in diameter was present, which proved to be the focus of an endodermal sinus tumor histologically. The retroperitoneal mature teratoma observed in this case showed malignant germ-cell differentiation. The above case is thought to be extremely rare, but these findings also suggest the possibility of a mature teratoma presenting as a premalignant condition. The sequence of "mature teratoma--germ-cell malignancy" is thus considered to represent a new potential pattern of early phase of carcinogenesis in teratomas.

journal_name

Hum Pathol

journal_title

Human pathology

authors

Ohno Y,Kanematsu T

doi

10.1016/s0046-8177(98)90432-4

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

1167-9

issue

10

eissn

0046-8177

issn

1532-8392

pii

S0046-8177(98)90432-4

journal_volume

29

pub_type

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