CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(01): 67-69
DOI: 10.4103/0971-3026.178334
Obs/Gynec

Prenatal diagnosis of cryptorchid testicular teratoma

Rahul Rajendra Arkar
Department of Radiology, B. J. Medical College and Sassoon General Hospital, Pune, Maharashtra, India
,
Rajesh A Umap
Department of Radiology, B. J. Medical College, Pune, Maharashtra, India
,
Sudhakar Jadhav
SJKC Trust′s Paed-Surgery Centre and P. G. Institute, Sangli, Maharashtra, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Testis follows a predictable course during its stepwise descent from its site of origin in the lumbar region to its final destination in ipsilateral hemi-scrotum. Undesended (cryptorchid) testis is more prone for neoplastic transformation. Testicular teratoma is rare relative to ovarian teratoma and occurs rarely prenatally than postnatally. Teratoma is composed of derivatives of three germ layers. Ultrasound with color Doppler is the most commonly used modality for assessment of prenatal status. Prenatal diagnosis of cryptorchid testicular teratoma involves identification of well-defined, complex solid-cystic lesion with calcifications along the path of testicular descent and absent testis in ipsilateral hemi-scrotum at 36 weeks of gestation. Complications associated with cryptorchid testicular teratoma include torsion, hemorrhage, or malignant transformation. Early diagnosis is important to avoid complications, and hence, ultrasound imaging features play an important role in diagnosis.



Publication History

Article published online:
30 July 2021

© 2016. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Pohl HG, Shukla AR, Metcalf PD, Cilento BG, Retik AB, Bagli DJ, et al. Prepubertal testis tumors: Actual prevalence rate of histological types. J Urol 2004;172 (6 Pt 1):2370-2.
  • 2 Mukai M, Takamatsu H, Noguchi H, Tahara H. Intra-abdominal testis with mature teratoma. Pediatr Surg Int 1998;13:204-5.
  • 3 Wood HM, Elder JS. Cryptorchidism and testicular cancer: Separating fact from fiction. J Urol 2009;181:452-61.
  • 4 Ross JH, Rybicki L, Kay R. Clinical behavior and a contemporary management algorithm for prepubertal testis tumors: A summary of the prepubertal testis tumor registry. J Urol 2002;168 (4 Pt 2):1675-8.
  • 5 Grady RW, Ross JH, Kay R. Epidemiological features of testicular teratoma in a prepubertal population. J Urol 1997;158 (3 Pt 2):1191-2.
  • 6 Reinberg Y, Manivel JC, Fraley EE. Carcinoma in situ of the testis. J Urol 1989;142 (2 Pt 1):243-7.
  • 7 Renedo DE, Trainer TD. Intratubular germ cell neoplasia (ITGCN) with p53 and PCNA expression and adjacent mature teratoma in an infant testis. An immunohistochemical and morphologic study with a review of the literature. Am J Surg Pathol 1994;18:947-52.
  • 8 Pramanik DD, Bhatnagar V, Subbarao KC, Sharma MC, Agarwala S, Gupta AK. Antenatally detected mature teratoma in an undescended testis. Eur J Pediatr Surg 2011;21:209-10.
  • 9 Schwartz MZ, Shaul DB. Abdominal masses in the newborn. Pediatr Rev 1989;11:172-9.
  • 10 Mboyo A, Foulet A, Hocine S, Cheve MT, Plat M, Weil D. Teratoma in an undescended testis detected prenatally. J Urol 1997;158:200-1.
  • 11 Shih HH, Teng RJ, Yau KI, Lin HH, Hsieh FJ, Chen CC. Mature teratoma arising from an intra-abdominal undescended testis presenting as a fetal abdominal mass. Ultrasound Obstet Gynecol 1997;10:209-11.
  • 12 Siu SS, Leung TN, Leung TY, Ng SW, Yeung CK, Lau TK. Prenatal diagnosis of intra-abdominal mature testicular teratoma. J Ultrasound Med 2001;20:1257-60.
  • 13 Janda GM, Najdzionek JS, Kozielski R, Greenfield SP, Williot PE. Early prenatal detection of an intra-abdominal cryptorchid testicular teratoma. Urology 2014;83:214-6.
  • 14 Zilberman D, Inbar Y, Heyman Z, Shinhar D, Bilik R, Avigad I, et al. Torsion of the cryptorchid testis - can it be salvaged? J Urol 2006;175:2287-9.
  • 15 Duncan ND, Gabay L, Coard KC, Antoine M, McDonald A. Torsion of an intra-abdominal testicle in a neonate. Case report and review of the literature. West Indian Med J 1997;46:126-7.
  • 16 Brown IR, Dunlap HJ, Nizalik E, Schillinger JF. A child with an intra-abdominal testicular teratoma: A case report and review of prepubertal cryptorchid germ cell tumors. Urology 1995;46:863-6.