Immature intrapericardial teratoma in a newborn with elevated alpha-fetoprotein.
A large intrapericardial mass was incidentally found in a fetus at 32 weeks gestational age, which was accompanied by a significant pericardial effusion. The baby was delivered by cesarean section and had surgical removal of the tumor on the second day of life. Alpha-fetoprotein was elevated. The pathologic analysis demonstrated a grade I immature teratoma with foci of hepatoid tissue. The patient had an uneventful postoperative recovery. A review of the literature and pathologic implications are discussed.
Roy
Nathalie
N
Division of Pediatric Cardiothoracic Surgery, Children's Hospital, University of California, San Francisco, San Francisco, California 94143-0118, USA.
Blurton
Dominic J
DJ
Azakie
Anthony
A
Karl
Tom R
TR
D000328:Adult; D014408:Biomarkers, Tumor / Q000097:blood*; D002585:Cesarean Section; D004564:Electrocoagulation; D004630:Emergencies; D005260:Female; D005865:Gestational Age; D006338:Heart Neoplasms / Q000097:blood / Q000151:congenital* / Q000000981:diagnostic imaging / Q000196:embryology / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D007231:Infant, Newborn; D009363:Neoplasm Proteins / Q000097:blood*; D010496:Pericardium / Q000601:surgery; D011247:Pregnancy; D013724:Teratoma / Q000097:blood / Q000151:congenital* / Q000000981:diagnostic imaging / Q000196:embryology / Q000601:surgery; D016216:Ultrasonography, Prenatal; D000509:alpha-Fetoproteins / Q000032:analysis*
D014408:Biomarkers, Tumor; D009363:Neoplasm Proteins; D000509:alpha-Fetoproteins