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Enciu M, Baltatescu GI, Cojocaru O, Burlacu I, Cristurean VC, Mocanu L, Ghitoi SA, Dinu A, Nicolau AA. Umbilical Cord Teratoma - A Short Case Report. Fetal Pediatr Pathol 2022; 42:450-455. [PMID: 36218240 DOI: 10.1080/15513815.2022.2130734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background: Teratomas can occur in the umbilical cord, and may or may not be associated with other congenital abnormalities. Case report: This 35-year-old primigravida gave birth 37-38 weeks to a 3290-g normal female. The umbilical cord, at 10 cm from the abdominal insertion, had an 8 cm mature teratoma. Work-up revealed no other abnormalities. Discussion: Mature teratomas may occur in the umbilical cord, and may or may not have additional clinical sequalae.
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Affiliation(s)
- Manuela Enciu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Faculty of Medicine, "Ovidius" University, Constanta, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Gabriela Izabela Baltatescu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania.,Center for Research and Development for Morphologic and Genetic Studies of Malignant Pathology - CEDMOG, "Ovidius" University Constanta, Constanta, Romania
| | - Oana Cojocaru
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Faculty of Medicine, "Ovidius" University, Constanta, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Ionut Burlacu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Viorel Constantin Cristurean
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Obstetrics - Gynecology Department, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania
| | - Liliana Mocanu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania
| | - Sinziana-Andra Ghitoi
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Alexandra Dinu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Antonela-Anca Nicolau
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania.,Center for Research and Development for Morphologic and Genetic Studies of Malignant Pathology - CEDMOG, "Ovidius" University Constanta, Constanta, Romania
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Bendre PS, Banerjee A, Munghate G, Tiwari YA, Bodhanwala M. Immature teratoma within an omphalocele: A unique finding. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2022. [DOI: 10.1016/j.epsc.2022.102319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Umbilical Cord Teratoma Presenting as Ruptured Omphalocele. European J Pediatr Surg Rep 2022; 10:e6-e8. [PMID: 35136711 PMCID: PMC8813329 DOI: 10.1055/s-0041-1741509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 01/18/2021] [Indexed: 11/16/2022] Open
Abstract
Congenital mature teratomas of the umbilical cord are extremely rare. We report on a girl who presented with a ruptured omphalocele and a 7 cm mass connected to the umbilicus, which we resected on the first day of life. Histology revealed mature umbilical cord teratoma . On the 29th day of life, a secondary laparotomy was necessary to address the associated intestinal malformations (megaduodenum, stenotic small bowel with duplication and malrotation). After a prolonged hospital stay, we discharged the patient in age-appropriate conditions. Antenatal diagnosis of an umbilical cord tumor can be challenging in the presence of an omphalocele. Given the high prevalence of associated malformations, the finding of umbilical cord teratoma should be followed by a detailed and comprehensive neonatal workup for additional abnormalities.
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McHenry A, Morotti R, Hui P. Placenta Teratoma or Acardiac Fetus Amorphous: A Case Study by DNA Genotyping. Int J Gynecol Pathol 2022; 41:51-58. [PMID: 33770056 DOI: 10.1097/pgp.0000000000000769] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
To date, 40 cases of placental teratoma and 21 cases of umbilical cord teratoma have been reported in the literature. Such entities are purportedly described as originating from ectopically derived totipotential germ cells forming 1 or more of 3 germ layers, similar to teratomas arising in other sites. These entities have been described as distinct from acardiac twins based on the absence of both an axial skeleton and/or separate umbilical cord attachment. We present a case that would be compatible with placental teratoma according to these criteria. However, DNA genotyping analysis of the "teratoma" and its corresponding normal placental tissue revealed an identical genetic profile at all microsatellite polymorphic loci with exception of one locus demonstrating loss of heterozygosity involving 1 of 2 "teratoma" samples tested. Our finding established that the "teratoma" in fact represented a monozygotic acardiac (amorphous) twin with aberrant division of embryogenesis as a continuum of the monozygotic twinning phenomenon. In summary, this is the first case study of so-called placental teratoma by DNA genotyping investigation. We conclude that the diagnostic term "placental teratoma" should be discouraged unless evidence of monozygotic twining can be ruled out by molecular genotyping.
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Affiliation(s)
- Austin McHenry
- Department of Pathology, Yale University School of Medicine, New Haven, Connecticut
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Travessa AM, Santo S, Luís R, Carvalho Afonso M, Carvalho R, Vitorino E, Sousa AB. A fetus with an immature umbilical cord teratoma associated with exomphalos: case report and review of the literature. ROMANIAN JOURNAL OF MORPHOLOGY AND EMBRYOLOGY 2021; 61:953-957. [PMID: 33817740 PMCID: PMC8112753 DOI: 10.47162/rjme.61.3.37] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Objective: To describe the antenatal and pathological features of an immature umbilical cord teratoma associated with exomphalos, and to review the literature on this subject. Case presentation: An abdominal wall defect, suspected to be an exomphalos, was identified during routine ultrasound examination performed at 13 weeks of gestation. The pregnancy was terminated. Fetopathological examination revealed an immature umbilical cord teratoma associated with exomphalos. Chromosomal microarray analysis was normal. Conclusions: Umbilical cord teratomas, albeit very rare, should be emphasized as a possible differential diagnosis when abdominal wall defects are detected. Since cord teratomas may lead to adverse fetal or neonatal outcomes, close follow-up of the fetus is recommended.
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Affiliation(s)
- André Miguel Travessa
- Serviço de Genética Médica, Departamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal;
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Adams KV, Bernieh A, Morris RW, Saad AG. Umbilical Cord Teratomas Associated With Congenital Malformations. Arch Pathol Lab Med 2019; 144:156-159. [PMID: 31644321 DOI: 10.5858/arpa.2019-0161-ra] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
CONTEXT.— Congenital mature teratomas of the umbilical cord are extremely rare and pose a challenge in prenatal diagnosis. Mature teratomas are defined as tumors composed of mature tissues derived from more than 1 germ cell layer. The tumor often shows solid and cystic components, which adds to the difficulty of prenatal diagnosis. Although benign, mature teratomas of the umbilical cord are commonly associated with congenital malformations of the fetus with variable severity and rarely, with chromosomal abnormalities. OBJECTIVE.— To review the clinical, radiologic, gross, and histologic features of umbilical cord teratoma; its differential diagnosis; and to emphasize the increased risk of associated congenital malformations. DATA SOURCES.— Umbilical cord teratoma cases published in the literature. CONCLUSIONS.— Umbilical cord teratomas are difficult to diagnose by imaging studies alone and require histopathologic examination for diagnosis. Given the increased risk of associated anomalies and malformations, the finding of umbilical cord teratoma should trigger a detailed and comprehensive evaluation of the neonate for additional abnormalities.
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Affiliation(s)
- Kristen V Adams
- From the Departments of Pathology (Drs Adams, Bernieh, and Saad) and Radiology (Dr Morris), University of Mississippi Medical Center, Jackson
| | - Anas Bernieh
- From the Departments of Pathology (Drs Adams, Bernieh, and Saad) and Radiology (Dr Morris), University of Mississippi Medical Center, Jackson
| | - Robert W Morris
- From the Departments of Pathology (Drs Adams, Bernieh, and Saad) and Radiology (Dr Morris), University of Mississippi Medical Center, Jackson
| | - Ali G Saad
- From the Departments of Pathology (Drs Adams, Bernieh, and Saad) and Radiology (Dr Morris), University of Mississippi Medical Center, Jackson
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Peiró JL, Sbragia L, Scorletti F, Lim FY, Shaaban A. Management of fetal teratomas. Pediatr Surg Int 2016; 32:635-47. [PMID: 27112491 DOI: 10.1007/s00383-016-3892-3] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/31/2016] [Indexed: 10/21/2022]
Abstract
Fetal teratomas are the most common tumors diagnosed prenatally. The majority of these tumors are benign and cured by complete resection of the mass during the neonatal period. Prenatal diagnosis has improved the perinatal management of these lesions and especially for the teratomas that might benefit from fetal intervention. A comprehensive prenatal evaluation including conventional ultrasounds, Doppler, echocardiography and fetal MRI, is essential for an effective counseling and perinatal management. Antenatal counseling helps the parents to better understand the natural history, fetal intervention, and perinatal management of these tumors, which differ dramatically depending on their size and location. Fetal surgical debulking improves survival in cases of sacrococcygeal teratoma with cardiac decompensation. Additionally, the use of an EXIT procedure reduces the morbidity and mortality if a complicated delivery in cases of cervical and mediastinal teratomas. Here, we offer an overview of all fetal teratomas and their recommended management, with emphasis on in utero treatment options.
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Affiliation(s)
- Jose L Peiró
- Cincinnati Fetal Center, Pediatric General and Thoracic Surgery Division, Cincinnati Children's Hospital Medical Center (CCHMC), University of Cincinnati, 3333 Burnet Avenue, MLC 11025, Cincinnati, OH, 45229-3039, USA.
| | - Lourenço Sbragia
- Cincinnati Fetal Center, Pediatric General and Thoracic Surgery Division, Cincinnati Children's Hospital Medical Center (CCHMC), University of Cincinnati, 3333 Burnet Avenue, MLC 11025, Cincinnati, OH, 45229-3039, USA
| | - Federico Scorletti
- Cincinnati Fetal Center, Pediatric General and Thoracic Surgery Division, Cincinnati Children's Hospital Medical Center (CCHMC), University of Cincinnati, 3333 Burnet Avenue, MLC 11025, Cincinnati, OH, 45229-3039, USA
| | - Foong Y Lim
- Cincinnati Fetal Center, Pediatric General and Thoracic Surgery Division, Cincinnati Children's Hospital Medical Center (CCHMC), University of Cincinnati, 3333 Burnet Avenue, MLC 11025, Cincinnati, OH, 45229-3039, USA
| | - Aimen Shaaban
- Cincinnati Fetal Center, Pediatric General and Thoracic Surgery Division, Cincinnati Children's Hospital Medical Center (CCHMC), University of Cincinnati, 3333 Burnet Avenue, MLC 11025, Cincinnati, OH, 45229-3039, USA
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