Difference between revisions of "Germ cell tumours"

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436 bytes added ,  04:01, 12 August 2011
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==Teratoma==
==Teratoma==
===General===
===General===
*Consists of all three [[germ layers]]:<ref>{{cite book |author=Moore, Keith L.; Persaud, T.V.N.|title=The Developing Human: Clinically Oriented Embryology |publisher=Saunders |location= |year=2002 |pages= 83 |edition=7th |isbn=978-0721694122 |oclc= |doi= |accessdate=}}</ref>  
*May be benign of malignant.
*Are supposed to consists of all three [[germ layers]] - this is not always true.
 
====Classification====
#Mature.
#*Common in females, not seen in males.
#*Usually benign; however, mature component may give rise to a malignancy like elsewhere in the body.
#**Most common malignancy arising from a mature teratoma: [[squamous cell carcinoma]].
#Immature.
#*Uncommon.
#*Malignant.
#Monodermal.
#*Rare.
#*Highly specialized.
 
===Mature===
Features - three germ cell layers (usually):<ref>{{cite book |author=Moore, Keith L.; Persaud, T.V.N.|title=The Developing Human: Clinically Oriented Embryology |publisher=Saunders |location= |year=2002 |pages= 83 |edition=7th |isbn=978-0721694122 |oclc= |doi= |accessdate=}}</ref>  
*#Endoderm:
*#Endoderm:
*#*Skin, CNS.
*#*Skin, (mature) CNS.
*#Mesoderm:
*#Mesoderm:
*#*Muscle, bone, connective tissue, blood.
*#*Muscle, bone, connective tissue, blood.
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*#*Internal organs.
*#*Internal organs.


===Classification===
Note:
====Two groups (simplified)====
*May consist of skin only - in which case it is commonly called a ''dermoid''.
**Mature (benign).
**Immature (malignant).


====Three types====
Images:
#Mature - common, usually benign.
*[http://commons.wikimedia.org/wiki/File:Teratoma_2_low_mag.jpg Mature teratoma - low mag. (WC)].
#*Mature component may give rise to a malignancy - most common [[squamous cell carcinoma]].
*[http://commons.wikimedia.org/wiki/File:Teratoma_2_high_mag.jpg Mature teratoma - high mag. (WC)].
#Immature - malignant.
#Monodermal - highly specialized.


===Immature===
===Immature===
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**Synaptophysin +ve.
**Synaptophysin +ve.


===Specialized teratomas===
===Monodermal teratomas===
====General====
*Rare.
*Monodermal.
 
====Struma ovarii====
====Struma ovarii====
Features:
Features:
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