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Intrapericardial Immature Teratoma with Successful Treatment in a Neonate

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Abstract

Intra-pericardial teratoma, most often a benign tumor, is an extremely rare condition in a newborn. It can be a diagnostic and therapeutic challenge if it presents with massive pericardial effusion. Complete surgical excision of the tumor is necessary because of its association with tissues of malignant potential. A 16-d-old newborn was diagnosed with intra pericardial immature teratoma (IT) and managed successfully with multidisciplinary team approach by prompt referral for complete surgical resection followed by adjuvant chemotherapy with carboplatin, etoposide and bleomycin (JEB) to prevent recurrence. The infant is now on close follow up with monitoring of serum alpha fetoprotein (AFP) levels and imaging studies for early diagnosis of recurrence of tumor and chemotherapy related complications.

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Acknowledgements

The authors are thankful to Dr. Nitin Rao, Consultant Cardiologist, Dr. Gopichand. M, CT Surgeon, Star Hospital, Hyderabad for their valuable cooperation in successful surgical management. They also thank Dr. Sirisha, Pediatric Hematologist, Rainbow Hospital, Hyderabad for providing follow up chemotherapy free of cost.

Contributions

MN: Patient management, literature search and correspondence to higher centers; JM: Data collection, literature search and manuscript writing; SA: Investigative support and correspondence; NP: Diagnosis and free follow-up service; MD: Script editing, final approval and will act as guarantor for this paper.

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None.

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Authors and Affiliations

  1. Department of Pediatrics, Rangaraya Medical College, Kakinada, Andhra Pradesh, India

    Jhancy Malay, N. Madhavi, A. Satyavani & D. Manikyamba

  2. Department of Cardiology, Trust Hospital, Kakinada, Andhra Pradesh, India

    P. Nishanth

  3. Department of Pediatrics, Government General Hospital, Kakinada, Andhra Pradesh, 533001, India

    N. Madhavi

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  1. Jhancy Malay
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  2. N. Madhavi
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  3. A. Satyavani
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  4. P. Nishanth
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  5. D. Manikyamba
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Correspondence to N. Madhavi.

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Malay, J., Madhavi, N., Satyavani, A. et al. Intrapericardial Immature Teratoma with Successful Treatment in a Neonate. Indian J Pediatr 81, 1099–1101 (2014). https://doi.org/10.1007/s12098-014-1427-2

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  • DOI: https://doi.org/10.1007/s12098-014-1427-2

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