Retroperitoneal Teratoma in an Infant

Case Report

  • Barani Karikalan Perdana University
  • Thanikachalam Meenakshi Pasupati Clinipath Pathology laboratory, Malaysia
Keywords: Children, Infant, Surgical therapy, Teratoma, Retroperitoneal Tumour


Common location of teratomas in children are sacrococcygeal, gonadal, mediastinal and retroperitoneal, but teratomas may also occur at very unusual locations. A one-year-old girl presented with a large swelling at her left abdomen. Clinical examination revealed a solitary, non-tender, soft to firm, irregular cystic mass, occupying her left abdominal region. Computed Tomography (CT) scan finding was consistent with retroperitoneal teratoma. Complete surgical excision of the tumour was done without any difficulties. Histology of the excised tumour was conclusive of mature cystic teratoma.

Author Biography

Thanikachalam Meenakshi Pasupati, Clinipath Pathology laboratory, Malaysia
Histopathology Department; Pathologist


[1] Rescorla FJ, Sawin RS, Coran AG, Dillon PW, Azizkhan RG. Long-term outcome for infants and children with sacrococcygeal teratoma: a report from the childrens cancer group. J Pediatr Surg. 1998;33:171–76.
[2] Wei Y, Wu SD, Lin T, He DW, Li XL, Liu JH, et al. Testicular teratoma in children: Analysis of 64 cases. Zhonghua Nan Ke Xue. 2015;21:809–15.
[3] Zhang M, Jiang W, Li G, Xu C. Ovarian masses in children and adolescents - an analysis of 521 clinical cases. J Pediatr Adolesc Gynecol. 2014;27:e73–77.
[4] Yalçın B, Demir HA, Tanyel FC, Akçören Z, Varan A, Akyüz C, et al. Mediastinal germ cell tumors in childhood. Pediatr Hematol Oncol. 2012;29:633–42.
[5] Jones VS, Burns CR. Operative considerations in pediatric retroperitoneal teratomas --a review. Eur J Pediatr Surg. 2013;23:265–69.
[6] Srivastava J, Ghritlaharey RK. Immature mesenteric teratoma in an infant: A case report. J Clin Diagn Res. 2010;4:3581–84.
[7] Sharma MC, Aggarwal M, Ralte AM, Vaishya V, Suri A, Gupta V, et al. Clinicopathological study of spinal teratomas. A series of 10 case. J Neurosurg Sci. 2003;47:95–100.
[8] Shetty KJ, Kishan Prasad HL, Rai S, Kumar YS, Bhat S, Sajjan N, et al. Unusual presentation of immature teratoma of the neck: A rare case report. J Cancer Res Ther. 2015;11:647.
[9] Li D, Hao SY, Wu Z, Zhang LW, Zhang JT. Primary medulla oblongata teratomas. J Neurosurg Pediatr. 2014;14:296–300.
[10] Paradies G, Zullino F, Orofino A, Leggio S. Rare extragonadal teratomas in children: complete tumor excision as a reliable and essential procedure for significant survival. Clinical experience and review of the literature. Ann Ital Chir. 2014;85:56–68.
[11] Pantoja E, Llobet R, Gonzalez-Flores B. Retroperitoneal teratoma: historic review. J Urol 1976;115:520-3.
[12] Weiss JR, Burgess JR, Kaplan KJ. Fetiform teratoma (homunculus). Arch Pathol Lab Med 2006;130:1552-6.
[13] Snyder WH, Hastings TN, Pollock WF. Retroperitoneal tumours. In: Mustard WT, Ravitch MM, Snyder WH, editors. Pediatric Surgery. 2nd ed. Vol. 2. Chicago: Year Book Medical Publ. Inc; p. 1020-55.
Case Report