CNS tumor

Germ cell tumors

Teratoma



Topic Completed: 1 January 2006

Minor changes: 26 August 2020

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PubMed Search: Teratoma of the CNS [title]

Nat Pernick, M.D.
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Cite this page: Pernick N. Teratoma. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/cnstumorteratoma.html. Accessed December 8th, 2021.
Definition / general
  • Tissue derived from ectoderm, endoderm and mesoderm (at least 2 of 3 germinal layers)
  • Usually well differentiated / grade I of IV
  • Incidence varies with age: 30 - 50% of congenital brain tumors, 2% of brain tumors in infants and children, 0.5% at all ages
  • Congenital cases are usually fatal; may replace cerebral hemispheres (Pediatr Pathol 1987;7:333)
  • Mature teratomas:
    • Have well differentiated tissue from all three germinal layers, including neuroectoderm, epithelium (solid, cystic, glandular or tubular), cartilage or other mesenchymal elements, glial and neuronal tissue
  • Immature teratomas:
    • Have less differentiated tissue from any of the three germinal layers
    • 50% with intracranial tumors die within one year
    • Pineal teratomas are more common in males but saccrococcygeal teratomas are more common in females
    • Must sample thoroughly for correct diagnosis
Terminology
Poor prognostic factors
  • Tissue resembling medulloepithelioma, neuroblastoma, retinoblastoma or ependymoblastoma
Case reports
Treatment
  • Newborns - complete surgical excision (difficult)
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