Treatment
Teratoma was first diagnosed and excised on
Specimen: Lump Abdomen (Teratoma)
Gross Appearance: An ovoid, large, smooth surfaced mass measuring 8.0 X 6.0 X 5.0 cm. On slicing, it is multiloculated with solid and cystic areas including hard, bony areas. A small stump of normal mucosa is attached at one end.
Microscopic Appearance: Sections from intra-abdominal cystic mass show derivatives of all germ cell layers, distributed in purposeless disarray. The ectoderm predominates in the form of neuron-ectoderm represented by delicate fibrillary tissue with astroglial cell predominance. Epidermoid structures represented by stratified squamous tissue along with some adenexal elements. Mesoderm mainly contributed by muscle fibrous tissue, bone and cartilages. Respiratory and gut epithelia represented in endoderm.
All the elements are mature in character.
Impression: Histologically consistent with MATURE (Cystic) TERATOMA.
The ultra-sonography report on 24th May 2006 was as follows:
Impression: Complex solid cystic SOL (approx. 120mm X 125mm X 70MM) with calcification at epigastric region in a follow post operative case of gastric teratoma, may suggest recurrence.
Homeopathic treatment was undertaken by Dr. N.K. Lakhotia(+ 91 9339775663).
A report of MRI of Upper abdomen done on
Findings: A fairly large heterogeneous mass lesion is seen involving epigastric region of size approx. 163mm in lateral, 68 mm in AP and 111 mm in carino-caudal dimension. Focal area of membrance are seen in it.
Impression: MRI findings in this known case of teratoma is showing: A fairly large complex heterogeneous mass lesion involving epigastrium region described above & is abutting anterior wall of stomach with indentation/involvement of caudate lobe.
(To be further clinically correlated AND EVALUATED)
A second operation of the patient done on 28th August 2006.
The Biopsy test report done on
Specimen:
1) Excised tumour,
2) Nodule from periphery
3) Seedling from peritoneum
Gross Appearance:
1) A bosselated, ovoid, partly cystic, partly solid soft tissue mass measuring 8.0 X 7.5 X 7.0 cm. The cut surface has a variegated appearance. Several small cystic spaces containing mucinous material are noted.
2) A small piece of tissue, 2.0 cm across.
3) A tiny piece of tissue, totally processed.
Microscopic Appearance: Multiple sections from intra abdominal mass (since exact site is not mentioned) and surrounding tissue are studied. Morphologically tumour show features of “teratoma” having tissue derived from all three germ cell layers. The tumour show a mixture of mature and immature elements. Beside island of mature glial tissue there are sheets of mitotically active immature neuroepithlial cells. The glands and tubules like structures are lined by embryonal columnar cells, with stratified hyperchromatic nuclei. There are few nests of neuroblasts often surrounding primitive neural tubule and even rosettes like appearance. Clusters of immature mesenchymal tissue are also noted. There are some liver tissue seen at the periphery.
Impression: Overall features are in keeping with “Immature TERATOMA”.
The report of Serum A.F.P test dated
The discharge certificate given on 9th September 2006. The final report given by the hospital was:
Final Diagnosis and Treatment: Gastric Teratoma. Needed chemotherapy.
The patient’s father found the dimension of Teratoma reducing and decided to stick to homeopathic (of Dr. N.K. Lakhotia, +91 9339775663) and ayurvedic (of Jogiraj Jagmalji, Rohtak, +91 9896266101) treatment. All allopathic treatment was discontinued and chemotherapy was not given to the patient.
After the homeopathic treatment for around nine months, the patient gained the weight about 3 Kgs. The patient was clinically fit and following tests were done:
1) Serum test on 19.01.07
Finding: A.F.P. level - 1.73 ng/ml
2) AFP Serum (Cancer) on 8.02.07
Finding: 0.86 ng/ml
Final USG report on 23 February 07 was
Impression:
1) Sonographic study of whole abdomen reveals no significant abnormality
2) No evidence of recurrence or metastasis
Appeal from patient's father:
Contact Dr. N.K. Lakhotia (+91 9339775663) for homeopathic and ayurvedic treatment before taking chemotherapy, as the teratoma did not recur as yet as per various reports.
Patient:
Master Aman Singh
S/o: Mr. Abhimanyu Singh
Kolkata (Calcutta)
Phone: +91 9883141832
Age: Two years and nine months (As on
The report of the Ultrasonography of the whole abdomen (SCR) done on 27th July 2007 is as follows:
