Teratoma inmaduro intramedular infantil / Immature childhood intramedullary teratoma

Los teratomas en la infancia son generalmente benignos; siendo los inmaduros los menos frecuentes. Son tumores intradurales; lo que supone el 10% de los tumores raquimedulares en el niño. Presentamos el caso clínico de un paciente varón afecto de lesión medular diagnosticada a los 2 años de edad sin déficit sensoriomotor. Tras extirpar la lesión quedaron secuelas que requirieron tratamiento neurorehabilitador: vejiga neurógena, paresia de extremidades inferiores. El estudio anatomopatológico diagnostica la lesión de teratoma inmaduro grado II/III de localización D11-L3. Existe además una recidiva de las lesiones intradurales; a pesar de lo cual la evolución es satisfactoria. Se realiza búsqueda bibliográfica sin encontrar ningún caso publicado con las características de nuestro paciente. Mediante este caso se demuestra la importancia de un seguimiento y tratamiento multidisciplinar para el tratamiento de estas lesiones; de modo que el papel del médico rehabilitador es actuar de forma precoz para minimizar las secuelas y conseguir el mayor grado de independencia posible(AU)

Teratomas in childhood are usually benign, the immature ones being the least frequent. They are intradural tumors, which account for 10% of all the spinal tumors in children. We present a case of a male whose lesion was detected when he was 2 years old with no sensory-motor deficit. Following the tumor excision, some sequels remained that required rehabilitation treatment: neurogenic bladder and lower limb paresis. The anatomy-pathology diagnosed an immature teratoma grade II/III located in D11-L3. There was also recurrence of the intradural lesions in spite of which the evolution was good. A bibliographic search was performed, without finding any case similar to our patient. The importance of a follow-up and multidisciplinary treatment for those lesions is demonstrated by this case. Thus, the role of the rehabilitation doctor is to act early to minimize the sequels and to the highest independence possible(AU)

Mature cystic teratoma of the fallopian tube.

OBJECTIVE: To report a case of mature cystic teratoma of the fallopian tube. DESIGN: Case report. SETTING: Medical college-affiliated hospital. PATIENT(S): A 31-year-old woman, gravida 0, visited our outpatient clinic with infertility. Hysterosalpingography (HSG) showed a swollen right fallopian tube whose patency was not confirmed. INTERVENTION(S): Laparoscopic right salpingectomy was perfomed for a solid-appearing mass ∼2 × 1.5 cm in diameter in the ampullary region. Histopathologic examination showed components from each germ cell layer; therefore, the diagnosis of a mature cystic teratoma of the right fallopian tube was confirmed. The patient became pregnant with IVF-ET and gave birth to a baby boy. CONCLUSION(S): In cases where hydrosalpinx is suspected, a careful assessment by either HSG or laparoscopy is necessary at the time of infertility examination.

Teratoma del rafe bulbar / Teratoma of the medial rafe

Objective: to describe the case of a medulla oblongata benign teratoma associated with endocrinological disorders. Description: a 23 years old female patient presented with headache, vomiting, dizzines, ataxia, amenorrhea and galactorrhea, progressive during the last 5 years. MRI showed a fourth ventricle tumoral lesion that involved the medulla oblongata with hydrocephalus. Intervention: first a ventriculo peritoneal shunting was performed. One week later through a midline approach a microsurgical complete removal was done. Postoperative outcome was good. MRI 6 months later was free of tumor. After one year the neurological examination was normal. Conclusion: teratomas of the medulla oblongata are rare lesions. Surgery is the treatment of choice (AU)

[Radiation therapy of intracranial germ cell tumors].

The results of radiation therapy in 31 patients with intracranial germ cell tumors have been analyzed. The five-year survival rates were 70.1% for germinomas and 38.1% for teratomas. Three patients with germinoma have since died of spinal seeding. The prophylactic irradiation of the spinal canal has been found effective in protecting spinal seeding, since no relapse of germinoma has been observed in cases that received entire neuraxis irradiation, whereas teratomas and marker (AFP, HCG) positive tumors did not respond favorably to radiation therapy, and the cause of death in these patients has been local failure. Long-term survivors over 3 years after radiation therapy have been determined as having a good quality of life.