INTRARENAL TERATOMA: REPORT OF TWO CASES SEEN IN A 31-YEAR RETROSPECTIVE STUDY AT THE UNIVERSITY COL
Authors:
Kolawole Olanrewaju Aramide
Publication Type: Journal article
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Abstract
Germ cell neoplasms which have the potentials of differentiating along somatic cell lines are regarded
as teratomas. They are mature teratomas when tissues are fully differentiated and immature
teratomas when primitive or immature tissue elements are present. In this retrospective study, we
analyzed all the renal biopsies submitted to the Department of Pathology of the University College
Hospital, Ibadan, South-West Nigeria over a thirty one year period (1981-2011). Over the period,a
total of 119,986 specimens were received for histological assessment and only 1,027 (0.86%)
represented kidney specimens which included all the trucut biopsies and nephrectomies.Two (0.19%)
of the nephrectomy specimens from a one-year and a five-month old children were diagnosed as
mature and immature cystic teratoma respectively.The sample from the one-year-old child was heavy
(810g), cystic and measured 17x10x10cm. On microscopy, the tissues were predominantly mature
neural tissue,mature skeletal muscle, cartilage and foci of normal kidney tissue while the sample from
the five month old child was almost double the weight of the former (1600g) and measured
18x14x9cm. Cut sections revealed cystic and solid areas comprising bone, glial tissue, primitive
neuroectodermal tissue, choroid plexus, immature cartilage, skeletal muscle, fat, intestinal tissue,
breast structures,odontogenic and squamous epithelial tissues on microscopy.
Conclusion: Cystic teratoma is a rare occurrence in kidneys.
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