Teratoma history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
*The majority of patients with [disease name] are asymptomatic. Sacrococcygeal teratoma: In those not diagnosed antenatally, sacrococcygeal teratomas present in 2 patterns. The most common pattern is in neonates, who present with a large, predominantly benign tumor protruding from the sacral area that is noted prenatally or at the time of delivery. Less commonly, the newborn may exhibit only asymmetry of the buttocks or present when aged 1 month to 4 years with a presacral tumor that may extend into the pelvis. The latter group is at higher risk for malignancy. Ovarian teratoma: Mature cystic teratomas of the ovary often are discovered as incidental findings on physical examination, during radiographic studies, or during abdominal surgery performed for other indications. Asymptomatic ovarian mature cystic teratomas are reported at a rate of 6-65% in various series. When symptoms are present, they usually consist of abdominal pain (47.6%), abdominal mass or swelling (15.4%), and abnormal uterine bleeding (15.1%). Bladder symptoms, gastrointestinal disturbances, and back pain are less frequent. When abdominal pain is present, it usually is constant and ranges from slight to moderate in intensity. Torsion and acute rupture commonly are associated with severe pain. Hormonal production is thought to account for cases of abnormal uterine bleeding, but histologic examination has not provided evidence of this theory. Testicular teratomas most often present as a painless scrotal mass, except in the case of torsion. The masses are firm or hard in 83% of cases. Most are not tender and do not transilluminate. Testicular pain and scrotal swelling occasionally are reported with teratomas, but this is nonspecific and simply indicates torsion until proven otherwise. Hydrocele frequently is associated with teratoma in childhood. On examination, the testis is diffusely enlarged, rather than nodular, although a discreet nodule in the upper or lower pole sometimes can be appreciated. Mediastinal teratomas often are asymptomatic. When symptoms are present, they relate to mechanical effects including chest pain, cough, dyspnea, or symptoms related to recurrent pneumonitis. Many patients present with respiratory findings, and the pathognomonic finding of trichoptysis, or cough productive of hair or sebaceous material, may result if a communication develops between the mass and the tracheobronchial tree. Other serious presentations are superior vena cava syndrome or lipoid pneumonia. Mediastinal teratomas occasionally are discovered incidentally on chest radiograph. | *The majority of patients with [disease name] are asymptomatic. Sacrococcygeal teratoma: In those not diagnosed antenatally, sacrococcygeal teratomas present in 2 patterns. The most common pattern is in neonates, who present with a large, predominantly benign tumor protruding from the sacral area that is noted prenatally or at the time of delivery. Less commonly, the newborn may exhibit only asymmetry of the buttocks or present when aged 1 month to 4 years with a presacral tumor that may extend into the pelvis. The latter group is at higher risk for malignancy. Ovarian teratoma: Mature cystic teratomas of the ovary often are discovered as incidental findings on physical examination, during radiographic studies, or during abdominal surgery performed for other indications. Asymptomatic ovarian mature cystic teratomas are reported at a rate of 6-65% in various series. When symptoms are present, they usually consist of abdominal pain (47.6%), abdominal mass or swelling (15.4%), and abnormal uterine bleeding (15.1%). Bladder symptoms, gastrointestinal disturbances, and back pain are less frequent. When abdominal pain is present, it usually is constant and ranges from slight to moderate in intensity. Torsion and acute rupture commonly are associated with severe pain. Hormonal production is thought to account for cases of abnormal uterine bleeding, but histologic examination has not provided evidence of this theory. Testicular teratomas most often present as a painless scrotal mass, except in the case of torsion. The masses are firm or hard in 83% of cases. Most are not tender and do not transilluminate. Testicular pain and scrotal swelling occasionally are reported with teratomas, but this is nonspecific and simply indicates torsion until proven otherwise. Hydrocele frequently is associated with teratoma in childhood. On examination, the testis is diffusely enlarged, rather than nodular, although a discreet nodule in the upper or lower pole sometimes can be appreciated. Mediastinal teratomas often are asymptomatic. When symptoms are present, they relate to mechanical effects including chest pain, cough, dyspnea, or symptoms related to recurrent pneumonitis. Many patients present with respiratory findings, and the pathognomonic finding of trichoptysis, or cough productive of hair or sebaceous material, may result if a communication develops between the mass and the tracheobronchial tree. Other serious presentations are superior vena cava syndrome or lipoid pneumonia. Mediastinal teratomas occasionally are discovered incidentally on chest radiograph.<ref name="urlTeratoma">{{cite web |url=http://www.csh.org.tw/dr.tcj/educartion/f/web/Teratoma/index.htm |title=Teratoma |format= |work= |accessdate=}}</ref> | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
The majority of patients with [disease name] are asymptomatic.
OR
The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History and Symptoms
- The majority of patients with [disease name] are asymptomatic. Sacrococcygeal teratoma: In those not diagnosed antenatally, sacrococcygeal teratomas present in 2 patterns. The most common pattern is in neonates, who present with a large, predominantly benign tumor protruding from the sacral area that is noted prenatally or at the time of delivery. Less commonly, the newborn may exhibit only asymmetry of the buttocks or present when aged 1 month to 4 years with a presacral tumor that may extend into the pelvis. The latter group is at higher risk for malignancy. Ovarian teratoma: Mature cystic teratomas of the ovary often are discovered as incidental findings on physical examination, during radiographic studies, or during abdominal surgery performed for other indications. Asymptomatic ovarian mature cystic teratomas are reported at a rate of 6-65% in various series. When symptoms are present, they usually consist of abdominal pain (47.6%), abdominal mass or swelling (15.4%), and abnormal uterine bleeding (15.1%). Bladder symptoms, gastrointestinal disturbances, and back pain are less frequent. When abdominal pain is present, it usually is constant and ranges from slight to moderate in intensity. Torsion and acute rupture commonly are associated with severe pain. Hormonal production is thought to account for cases of abnormal uterine bleeding, but histologic examination has not provided evidence of this theory. Testicular teratomas most often present as a painless scrotal mass, except in the case of torsion. The masses are firm or hard in 83% of cases. Most are not tender and do not transilluminate. Testicular pain and scrotal swelling occasionally are reported with teratomas, but this is nonspecific and simply indicates torsion until proven otherwise. Hydrocele frequently is associated with teratoma in childhood. On examination, the testis is diffusely enlarged, rather than nodular, although a discreet nodule in the upper or lower pole sometimes can be appreciated. Mediastinal teratomas often are asymptomatic. When symptoms are present, they relate to mechanical effects including chest pain, cough, dyspnea, or symptoms related to recurrent pneumonitis. Many patients present with respiratory findings, and the pathognomonic finding of trichoptysis, or cough productive of hair or sebaceous material, may result if a communication develops between the mass and the tracheobronchial tree. Other serious presentations are superior vena cava syndrome or lipoid pneumonia. Mediastinal teratomas occasionally are discovered incidentally on chest radiograph.[1]
OR
- The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
- Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History
Patients with [disease name]] may have a positive history of:
- [History finding 1]
- [History finding 2]
- [History finding 3]
Common Symptoms
Common symptoms of [disease] include:
- [Symptom 1]
- [Symptom 2]
- [Symptom 3]
Less Common Symptoms
Less common symptoms of [disease name] include
- [Symptom 1]
- [Symptom 2]
- [Symptom 3]