Growing Teratoma Syndrome of the Liver in a 22-Year-Old Female.
- Resource Type
- Article
- Authors
- O'Reilly, David; Alken, Schyrell; Fiore, Barbara; Dooley, Lucy; Prior, Lisa; Hoti, Emir; Fennelly, David
- Source
- Journal of Adolescent & Young Adult Oncology. Feb2020, Vol. 9 Issue 1, p124-127. 4p.
- Subject
- *ABDOMINAL tumors
*ABDOMINAL pain
*BLOOD transfusion
*CANCER chemotherapy
*COMBINED modality therapy
*HEPATECTOMY
*LIVER tumors
*METASTASIS
*OMENTUM
*TERATOMA
*PERIOPERATIVE care
PELVIC tumors
- Language
- ISSN
- 2156-5333
Following a presentation with abdominal pain, a 22-year-old female was diagnosed with a massive primary liver immature teratoma with evidence of omental and pelvic metastases. Despite chemotherapy, the teratoma continued to rapidly increase in size. Significant treatment-associated myelosuppression was challenging as the patient did not want to receive any blood products (religious objections). The only feasible approach was surgical resection. Surgical resection of the primary tumor and abdominal metastases was undertaken despite unappealing perioperative risk with histological specimens demonstrating only mature teratoma. We report the first case of a liver teratoma suggestive of growing teratoma syndrome treated with myelosuppressive chemotherapy and major hepatectomy without the use of any blood products. [ABSTRACT FROM AUTHOR]