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Anthony Azakie
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Ann Thorac Surg 2004;78:e6-e8
© 2004 The Society of Thoracic Surgeons


Case report

Immature intrapericardial teratoma in a newborn with elevated alpha-fetoprotein

Nathalie Roy, MDa, Dominic J. Blurton, MDb, Anthony Azakie, MDa, Tom R. Karl, MD*a

a Division of Pediatric Cardiothoracic Surgery, San Francisco, California, USA
b Division of Pediatric Cardiology, Children's Hospital, University of California, San Francisco, California, USA

Accepted for publication October 30, 2003.

* Address reprint requests to Dr Karl, Division of Pediatric Cardiothoracic Surgery, University of California San Francisco, 505 Parnassus Ave, Room S-549, San Francisco, CA, USA 94143-0118
e-mail: karlt{at}surgery.ucsf.edu

A large intrapericardial mass was incidentally found in a fetus at 32 weeks gestational age, which was accompanied by a significant pericardial effusion. The baby was delivered by cesarean section and had surgical removal of the tumor on the second day of life. Alpha-fetoprotein was elevated. The pathologic analysis demonstrated a grade I immature teratoma with foci of hepatoid tissue. The patient had an uneventful postoperative recovery. A review of the literature and pathologic implications are discussed.







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