Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-13T04:37:32.913Z Has data issue: false hasContentIssue false

Primitive intrapericardial teratoma associated with yolk sac tumour

Published online by Cambridge University Press:  22 January 2014

Enrico Cetrano*
Affiliation:
Unit of Cardiac Surgery, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
Angelo Polito
Affiliation:
Unit of Cardiac Intensive Care, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
Adriano Carotti
Affiliation:
Unit of Cardiac Surgery, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
*
Correspondence to: Dr E. Cetrano, MD, Bambino Gesù Children’s Hospital, IRCCS, Piazza S. Onofrio, 4, 00165 Roma, Italy. Tel: (39) 06 68592258; Fax: (39) 06 68592670; E-mail: ecetrano@gmail.com

Abstract

An intrapericardial vacuolated mass compressing and displacing the heart was diagnosed by echocardiography in a foetus of 22 weeks gestation. The birth was induced for early signs of foetal distress at 29 weeks and, after two initial pericardial evacuation procedures, the tumour was resected radically 7 days after birth at a weight of 1.55 kg. Mass histology showed teratoma associated with yolk sac tumour. We comment on the overall approach adopted after foetal diagnosis and the histopathological features of the tumour, and try to draw conclusions on patient outcome data.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Gonzales-Crussi, F, Winkler, RF, Mirkin, DL. Sacrococcygeal teratomas in infant and children. Arch Pathol Lab Med 1978; 102: 420425.Google Scholar
2. Mullen, B, Richardson, DJ. Primary anterior mediastinal tumors in children and adults. Ann Thorac Surg 1986; 42: 338345.CrossRefGoogle ScholarPubMed
3. Moran, CA, Suster, S. Primary germ cell tumors of the mediastinum. Analysis of 322 cases with special emphasis on teratomatous lesion and a proposal for histopathologic classification and clinical staging. Cancer 1997; 80: 681690.3.0.CO;2-Q>CrossRefGoogle Scholar
4. Rasmussen, SL, Hwang, WS, Harder, J, Nicholson, S, Davies, D, Nimrod, CA. Intrapericardial teratoma: ultrasonic and pathologic features. J Ultrasound Med 1987; 6: 159162.CrossRefGoogle Scholar
5. Reynolds, JL, Donahue, JK, Pearce, CW. Intra-pericardial teratoma: a cause of acute pericardial effusion in infancy. Pediatrics 1969; 43: 7178.CrossRefGoogle Scholar
6. Schneider, DT, Calaminus, G, Reinhard, H, et al. Primary mediastinal germ cell tumors in children and adolescents: results of the German cooperative protocols MAKEI 83/86, 89 and 96. J Clin Oncol 2000; 18: 832839.CrossRefGoogle ScholarPubMed
7. Fritzsche, FR, Kristiansen, G, Frauenfelder, T, et al. Large mixed germ cell tumor in a young patient presenting as an intrapulmonary mass. Pathol Res Pract 2009; 205: 572578.CrossRefGoogle Scholar
8. Marina, NM, Cushing, B, Giller, R, et al. Complete surgical excision is effective treatment for children with immature teratomas with or without malignant elements: a pediatric oncology group/children’s cancer group intergroup study. J Clin Oncol 1999; 17: 21372143.CrossRefGoogle ScholarPubMed
9. Albany, C, Einhorn, LH. Extragonadal germ cell tumors: clinical presentation and management. Curr Opin Oncol 2013; 25: 261265.CrossRefGoogle Scholar