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Primary Mature Teratoma of the Rectum: A Case Report

Journal of Pediatric Surgery Case Reports, a companion title to the respected Journal of Pediatric Surgery, is an open access publication dedicated to publishing case reports. JPS Case Reports will provide the most current source of information and references in pediatric surgery. The Journal is based on the need to improve surgical care of infants and children, not only through advances in. Tissue plasminogen activator (tPA) treatment for COVID-19 associated acute respiratory distress syndrome (ARDS): A case series J Thromb Haemost. 2020 Jul;18(7):1752-1755. Doi: 10.1111/jth.14828.

Manish Narang Editor-In-Chief, Journal of Case Reports Email:editor@casereports.in ISSN No: 2231-6809 Indexed by: I ndex Copernicus, Indian Science Abstracts, Google Scholar, Ulrichsweb, Open J-Gate, Scientific Indexing Services (SIS), International Institute of. Celebrating our 10 year anniversary. Journal of Surgical Case Reports (JSCR) began publishing as an Open Access, peer-reviewed journal in March 2010.To mark this anniversary, we have collated each ‘Case Report of the Year’ from the past ten years and are pleased to announce the winner of the 2019 award. Case Report: Hot Wheels 2020 J Case With all the mayhem in the world, it is safe to assume the roll-out of new product from Hot Wheels and our other favorite brands might be a little sporadic. Which in some ways might be a good thing, considering toy hunting might be as “non-essential” as it gets.

Kyung Han Nam, Bomi Kim

Department of Pathology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea

Am J Case Rep 2021; 22:e930272

DOI: 10.12659/AJCR.930272


BACKGROUND: Teratomas are embryonal neoplasms that contain tissues derived from 1 or more of the 3 germ layers. They commonly are found in the sacrococcygeal-gonadal location, sometimes in midline locations such as the mediastinum, retroperitoneum, and head and neck region. Primary rectal teratomas are extremely rare. Extragonadal teratomas can originate from pluripotent germ cells present in abnormal embryonic rests.
CASE REPORT: Here, we report a rare case of a primary mature, solid teratoma of the rectum. A 68-year-old woman presented with hematochezia and denied any history of abdominal pain or a change in bowel habits. Colonoscopy revealed a 4-cm pedunculated polyp in the rectum. No hair was present on its surface. The polyp was completely removed by polypectomy. Histologically, the tumor consisted of mature components from all 3 germ layers. Its surface was covered by squamous epithelium with hair follicles and sweat glands. Adipose tissue, blood vessels, bone, and glandular epithelium were present inside the mass. No evidence was found of immature elements or malignant features.
CONCLUSIONS: When polypoid lesions are found in the rectum, teratoma should be considered in the differential diagnosis. Histopathological confirmation is necessary to diagnose teratoma. Primary rectal teratomas should be distinguished from other neoplastic polyps as well as from local spread of teratomas arising in adjacent organs. These neoplasms are usually mature (benign) but may undergo malignant transformation. Therefore, complete resection is recommended to alleviate symptoms and avoid the risk of malignancy.

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Keywords: Endoscopy, Rectum, Teratoma



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