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- Title
Retroperitoneal teratomas in children: a single institution experience.
- Authors
Kawano, Takafumi; Sugita, Koshiro; Kedoin, Chihiro; Nagano, Ayaka; Matsui, Mayu; Murakami, Masakazu; Kawano, Masato; Yano, Keisuke; Onishi, Shun; Harumatsu, Toshio; Yamada, Koji; Yamada, Waka; Masuya, Ryuta; Matsukubo, Makoto; Muto, Mitsuru; Machigashira, Seiro; Nakame, Kazuhiko; Mukai, Motoi; Kaji, Tatsuru; Ieiri, Satoshi
- Abstract
Purpose: Retroperitoneal teratomas (RPTs) are rare in infants. We report our experience of treating pediatric patients with RPTs over many years at a single institution, with the aim of developing a safe and secure operative strategy for RPTs in infants. Methods: We reviewed the medical records of patients who underwent treatment for RPTs in our institution between April, 1984 and December, 2017, to analyze their background and clinical data. The diagnosis of RPT was confirmed histologically in all patients. Results: The subjects of this retrospective analysis were 14 pediatric patients (female, n = 11; male, n = 4), ranging in age from 6 days to 12 years, 11 (73.3%) of whom were under 1 year of age. Complete surgical resection was performed in all patients. The tumor ruptured during surgery in four (26.7%) patients and perioperative vessel injuries occurred in six (40.0%) patients, resulting in nephrectomy in one (6.7%). Three (20.0%) patients suffered unilateral renal dysfunction as a surgical complication. Only one patient received postoperative chemotherapy. All patients were free of disease at the time of writing. Conclusion: Perioperative complications are not uncommon during surgery for RPTs, despite their benign nature. Preoperative imaging evaluation is important and operative management may be challenging. Because of the favorable prognosis and the frequency of adverse events in surgery, partial resection or split excision is sometimes unavoidable. Meticulous follow-up for recurrence is required for such patients.
- Subjects
TERATOMA; CHILD patients; ADJUVANT chemotherapy; SURGICAL complications; MEDICAL records; SURGICAL excision; NEPHRECTOMY
- Publication
Surgery Today, 2022, Vol 52, Issue 1, p144
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-021-02327-0