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Immature Teratoma of Ovary (20X)
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Immature Teratoma of Ovary (20X)

The red arrows point to the perimeter of a nest of immature cartilage.
The nuclei are spindly and not located within identifiable lacunae.
The stroma is white, lacking the bluish coloration of mature cartilage.
(Description By:Melinda Sanders, M.D. )
(Image Contrib. by:Melinda Sanders, M.D. UCHC )
Immature (Malignant) Teratoma
Etiology

unknown
Pathogenesis

proliferation of a meiotic germ cell,
Epidemiology

rare neoplasm
General Gross Description

smooth external surface
predominantly solid although may be cystic
necrosis and hemorrhage
hair, keratinaceous debris, bone and cartilage
General Microscopic Description

IMMATURE (FETAL) tissues from all three germ cell layers
immature neural elements are common and may correlate with outcome
Clinical Correlation

women under 21 with abdominal pain and enlargement
Stage I confined to the ovary, II confined to the pelvis, III confined to peritoneal cavity, IV distant metastases
treat Stage I with surgery and chemotherapy as warranted
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. pp. 1073
Immature (Malignant) Teratoma
Synopsis by: Melinda Sanders M.D. (T87000M90803)[48]
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