| 摘要 |
face and body for four days. Physical examination revealed a huge tumor in the left
upper quadrant of the abdomen and serious anemia with the hemoglobin level as
low as 2.6 g/dl. After supportive management, computed tomography (CT)
demonstrated a gastric teratoma with extragastric and intragastric components.
Complete excision of the tumor with primary closure of the wound was performed
smoothly, and the recovery was uneventful. Pathological examination confirmed the
diagnosis of triphasic teratoma. There was a large amount of immature
neuroepithelial tissue occupying more than three low power fields in any slide, which
suggested grade III immature teratoma. At the time of this writing, two years after
the operation, there is no evidence of tumor recurrence. Although the outcome of
grade III immature teratoma is generally regarded poor, complete tumor excision
with a free margin, as was done for our patient, is adequate according to the
literature, for both mature and immature gastric teratoma, and most of the patients
will be disease-free all lifetime. |
