Synonyms
Immature teratoma; Mature teratoma
Definition
Teratoma postpubertal type is composed of several types of tissue representing one or more of the different germinal layers.
Clinical Features
Incidence
In adults, pure teratomas account for only 3–7% of GCTs (Mostofi et al. 1987). Postpubertal teratoma is a tumor component in nearly half of mixed GCTs (von Hochstetter and Hedinger 1982).
Age
It occurs in young adults.
Sex
Male.
Site
Testis.
Treatment
Orchifunicolectomy.
Outcome
Teratoma rarely occurs with metastases, showing similar sites of spread as other germ cell tumors. A teratomatous component in the testis is also associated with higher probability of teratoma in post chemotherapy retroperitoneal lymphnodes. The presence of teratoma alone in metastases carries a favorable prognosis compared to persistent non-teratomatous GCT post chemotherapy (Tarrant et al. 2013).
Macroscopy
The macroscopic appearance depends on the amounts of different tissues present in the tumor. The...
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References and Further Reading
Cheng, L., Zhang, S., Eble, J. N., Beck, S. D., Foster, R. S., Wang, M., & Ulbright, T. M. (2012). Molecular genetic evidence supporting the neoplastic nature of fibrous stroma in testicular teratoma. Modern Pathology, 25(10), 1432–1438.
Jones, T. D., Wang, M., Sung, M. T., Zhang, S., Ulbright, T. M., Eble, J. N., Beck, S. D., Foster, R. S., Anagnostou, J. J., Conner, C., & Cheng, L. (2006). Clonal origin of metastatic testicular teratomas. Clinical Cancer Research, 12(18), 5377–5383.
Mostofi, F. K., Sesterhenn, I. A., & Davis, C. J. (1987). Immunopathology of germ cell tumors of the testis. Seminars in Diagnostic Pathology, 4(4), 320–341.
Tarrant, W. P., Czerniak, B. A., & Guo, C. C. (2013). Relationship between primary and metastatic testicular germ cell tumors: A clinicopathologic analysis of 100 cases. Human Pathology, 44(10), 2220–2226.
von Hochstetter, A. R., & Hedinger, C. E. (1982). The differential diagnosis of testicular germ cell tumors in theory and practice. A critical analysis of two major systems of classification and review of 389 cases. Virchows Archiv. A, Pathological Anatomy and Histology, 396(3), 247–277.
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Colecchia, M., Bertolotti, A. (2020). Teratoma, Postpubertal-Type. In: Raspollini, M.R., Lopez-Beltran, A. (eds) Uropathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-030-41894-6_4956
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DOI: https://doi.org/10.1007/978-3-030-41894-6_4956
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