Intraspinal Teratoma Simulating Protruded Intervertebral Disc

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Intraspinal teratomas are exceedingly rare tumors. In 1949 Sachs and Horrax15 tabulated 25 cases of teratoid tumors and teratomas in this location. However, only 10 of these were true trigerminal teratomas. Since then some 5 more cases of true teratomas of this region have been reported,5,6,11,12,16 bringing the total to about 15. In 4 instances the lesion has been in the conus medullaris, or attached to it.1,3,4,16 This case is reported because of the apparent rarity of such tumors and because of its unusual clinical presentation.

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    Operative exposure, with dura mater opened, showing tumor tissue on dorsal aspect of conus.

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    Acini resembling those in tissue of salivary gland. Phosphotungstic acid hematoxylin, ×285.

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    Corpuscle of Vater-Pacini surrounded by fat. Phosphotungstic acid hematoxylin, ×220.

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    Smooth muscle. Phosphotungstic acid hematoxylin, ×480.

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    Epithelium of transitional type and underlying connective tissue. Phosphotungstic acid hematoxylin, ×480.

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    Squamous epithelium lining cyst. Phosphotungstic acid hematoxylin, ×285

References

1.

BlackS. P. W. and GermanW. J. Four congenital tumors found at operation within the vertebral canal. With observations on their incidence. J. Neurosurg.19507: 4961.Black S. P. W. and German W. J. Four congenital tumors found at operation within the vertebral canal. With observations on their incidence. J. Neurosurg. 1950 7: 49–61.

2.

BrainR. Diseases of the nervous system. London: Oxford Univ. Press19555th ed.xviii996 pp. (see pp. 657660).Brain R. Diseases of the nervous system. London: Oxford Univ. Press 1955 5th ed. xviii 996 pp. (see pp. 657–660).

3.

BucyP. C. and BuchananD. N. Teratoma of the spinal cord. Surg. Gynec. Obstet.193560: 11371144.Bucy P. C. and Buchanan D. N. Teratoma of the spinal cord. Surg. Gynec. Obstet. 1935 60: 1137–1144.

4.

Case Records of The Massachusetts General Hospital. Case 42502. New Engl. J. Med.1956255: 11531157.Case Records of The Massachusetts General Hospital. Case 42502. New Engl. J. Med. 1956 255: 1153–1157.

5.

Favini SacerdotiF. and RicciardiL. Su di un caso di teratoide spinale intradurale. Clin. pediat.195537: 525534.Favini Sacerdoti F. and Ricciardi L. Su di un caso di teratoide spinale intradurale. Clin. pediat. 1955 37: 525–534.

6.

FurtadoD. and MarquesV. Spinal teratoma. J. Neuropath. exp. Neurol.195110: 384393.Furtado D. and Marques V. Spinal teratoma. J. Neuropath. exp. Neurol. 1951 10: 384–393.

7.

HenschenF. Tumoren des Zentralnervensystems und seiner Hüllen. Lubarsch Henke u. Rössle Handb. spez. path. Anat. Histol.195513pt. 3: 4131040 (see pp. 872875).Henschen F. Tumoren des Zentralnervensystems und seiner Hüllen. Lubarsch Henke u. Rössle Handb. spez. path. Anat. Histol. 1955 13 pt. 3: 413–1040 (see pp. 872–875).

8.

HoefnagelD.BenirschkeK. and DuarteJ. Teratomatous cysts within the vertebral canal. Observations on the occurrence of sex chromatin. J. Neurol. Neurosurg. Psychiat.1962n.s. 25: 159164.Hoefnagel D. Benirschke K. and Duarte J. Teratomatous cysts within the vertebral canal. Observations on the occurrence of sex chromatin. J. Neurol. Neurosurg. Psychiat. 1962 n.s. 25: 159–164.

9.

HosoiK. Intradural teratoid tumors of the spinal cord. Report of a case. Arch. Path.193111: 875883.Hosoi K. Intradural teratoid tumors of the spinal cord. Report of a case. Arch. Path. 1931 11: 875–883.

10.

IngrahamF. D. and BaileyO. T. Cystic teratomas and teratoid tumors of the central nervous system in infancy and childhood. J. Neurosurg.19463: 511532.Ingraham F. D. and Bailey O. T. Cystic teratomas and teratoid tumors of the central nervous system in infancy and childhood. J. Neurosurg. 1946 3: 511–532.

11.

LemmenL. J. and WilsonC. M. Intramedullary malignant teratoma of the spinal cord. Report of a case. Arch. Neurol. Psychiat. Chicago195166: 6168.Lemmen L. J. and Wilson C. M. Intramedullary malignant teratoma of the spinal cord. Report of a case. Arch. Neurol. Psychiat. Chicago 1951 66: 61–68.

12.

LivshitsL. I. [Intramedullary teratoma. (Report of a case.)] Vop. neirokhir.196125No. 6: 62. (Russian)Livshits L. I. [Intramedullary teratoma. (Report of a case.)] Vop. neirokhir. 1961 25 No. 6: 62. (Russian)

13.

LoveJ. G. and RiversM. H. Spinal cord tumors simulating protruded intervertebral discs. J. Amer. med. Ass.1962179: 878881.Love J. G. and Rivers M. H. Spinal cord tumors simulating protruded intervertebral discs. J. Amer. med. Ass. 1962 179: 878–881.

14.

PeytonW. T. and BakerA. B. Epidermoid, dermoid and teratomatous tumors of the central nervous system. Arch. Neurol. Psychiat. Chicago194247: 890917.Peyton W. T. and Baker A. B. Epidermoid dermoid and teratomatous tumors of the central nervous system. Arch. Neurol. Psychiat. Chicago 1942 47: 890–917.

15.

SachsE.Jr. and HorraxG. A cervical and a lumbar pilonidal sinus communicating with intraspinal dermoids. Report of 2 cases and review of the literature. J. Neurosurg.19496: 97112.Sachs E. Jr. and Horrax G. A cervical and a lumbar pilonidal sinus communicating with intraspinal dermoids. Report of 2 cases and review of the literature. J. Neurosurg. 1949 6: 97–112.

16.

TengP. and GordonJ. Teratoma of the conus medullaris. Report of a case. J. Neurosurg.195815: 569571.Teng P. and Gordon J. Teratoma of the conus medullaris. Report of a case. J. Neurosurg. 1958 15: 569–571.

17.

WillisR. A. Teratomas. In: Atlas of tumor pathologySect. III Fasc. 9.Washington, D. C.: Armed Forces Institute of Pathology195158 pp.Willis R. A. Teratomas. In: Atlas of tumor pathology Sect. III Fasc. 9. Washington D. C.: Armed Forces Institute of Pathology 1951 58 pp.

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