Retroperitoneal teratomas--potential for surgical misadventure

Journal of Pediatric Surgery
Niall M Jones, Edward M Kiely

Abstract

Retroperitoneal teratoma (RPT) is a relatively uncommon tumor in children. This study concerns 6 children with RPT that involved surrounding structures and required rather extensive operative procedures to successfully excise the lesions. A review of RPT in children encountered at a single institution over an 8-year period by a single surgeon was carried out. Age at presentation, sex, operative findings, surgical management, and outcomes were evaluated. Four of the 6 patients were girls, and 5 were younger than 6 months at diagnosis. All of the tumors enveloped and displaced the aorta and vena cava, 1 involved the stomach wall, 2 others displaced the renal vessels, and 1 the portal vein. Extensive resection including major vessel ligation was necessary for complete excision. All the tumors were benign, but 1 recurred. There were no deaths; however, 2 children have persistent hypertension. The operative management of RPTs may be complex and challenging. Despite their benign nature, the lesions can attenuate and surround major vessels, making resection difficult. Ligation of major vessels when necessary is tolerated well and may be required for complete tumor excision.

References

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Citations

May 6, 2009·Journal of Pediatric Hematology/oncology·Pelin OguzkurtAkgun Hicsonmez
Aug 18, 2009·Journal of Pediatric Hematology/oncology·Emilie EyssartierStéphan De Napoli-Cocci
Jun 27, 2013·Diagnostic Pathology·Karima Idrissi-SerhrouchniAfaf Amarti
Nov 3, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·T J NirmalA Korula
Feb 19, 2013·Journal of Pediatric Surgery·Ramnik PatelA M Barrett
Jan 18, 2012·Seminars in Pediatric Surgery·Frederick J Rescorla
Sep 25, 2010·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·A Sánchez AndrésJ I Carrasco Moreno
Dec 1, 2009·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·L Ojeda GonzálezE Costa Borrás
Feb 15, 2011·Urology·Yangle LiXiaokun Zhao
Mar 8, 2011·Journal of Pediatric Surgery·Valeria SolariEdwin Jesudason
Dec 23, 2016·Pediatrics International : Official Journal of the Japan Pediatric Society·Takahisa TainakaHiroo Uchida
Sep 15, 2018·Molecular and Clinical Oncology·Liang ZhouYongqing Lai
Jul 18, 2017·Pediatric Transplantation·Dongkyu OhKyung Suk Suh
Mar 23, 2021·Journal of X-ray Science and Technology·Xisheng WangYuanyuan Zhang
Jun 20, 2021·Surgery Today·Takafumi KawanoSatoshi Ieiri

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