Recurrence of Immature Gastric Teratoma with Peritoneal Gliomatosis

Introduction

Gastric teratoma accounts for less than 1% of all teratomas occurring in infants and children. They are seen predominantly in males. These tumors are usually mature [1]. Only a few cases with immature elements have been reported. Gastric teratoma with immature elements recurring with peritoneal gliomatosis is extremely rare. Complete excision with periodic follow-up together with assessment of the relevant tumor markers should be considered as the management protocol. Here we report the case of a boy who presented with gastric teratoma with immature elements in the neonatal period, followed by recurrence as a hepatic mass and peritoneal gliomatosis two years after excision.

References

• 1 Grosfeld JL, Ballantine TV, Lowe D. et al . Benign and malignant teratomas in children.  Surgery. 1976;  80 297-304
• 2 Cairo M, Grosfeld J, Wheetman R. Gastric teratoma: an unusual cause for bleeding in the upper gastrointestinal tract in the newborn.  Pediatrics. 1981;  67 721-724
• 3 Heley T, Diwler M, Holler P. Gastric teratoma with gastrointestinal bleeding.  J Pediatr Surg. 1986;  21 949-950
• 4 Morrison L, Snodgrass P, Wiseman H. Gastric teratoma: report of a case and review of literature.  Clin Pediatr. 1975;  14 712-718
• 5 Tschuida U, Urano Y, Endo Y. A study on alpha fetoprotein and endodermal sinus tumor.  J Pediatr Surg. 1975;  19 501-505
• 6 Thurlbeck WW, Scully RE. Solid teratoma of the ovary: a clinocopathologic analysis of nine cases.  Cancer. 1960;  13 804-814
• 7 Fort RW, Mathie IK. Gliomatosis peritonei caused by ovarian teratoma.  J Clin Pathol. 1969;  22 348-363
• 8 Coulson WF. Peritoneal gliomatosis from a gastric teratoma.  Am J Clin Pathol. 1990;  94 87-89
• 9 Ukiyama E, End M, Yoshida F. et al . Recurrent yolk sac tumor following resection of a neonatal immature gastric teratoma.  Pediatr Surg Int. 2005;  21 585-588

Correspondence