junction Teratoma

This is a newly-born Indian male. A mass was noticed in his left hypochondrium region since birth. The mass was not tender and moves up and down with respiration but very slight movement from side to side can be elicited. It has  heterogenous consistency but is generally firm. Hand can NOT be insinuated behind the upper margin. The mass was not pulsating and had no transmitted thrill.

Gastrographin swallow (Image1,   Image2) showed  a filling defect above the cardio-oesophageal junction. The contrast medium passed through to the stomach without hold-up.

Thoraco-abdominal CT scan
(image1, image2, image3, image4, image5, image6)
showed a rounded non-homogenous mass of different densities. There were areas of cystic degeneration.

On 10/1/1989 - when the baby was 6 weeks old- left postero-lateral thoracotomy with extended laparotomywas performed. The lesion was removed through cardio-oesophagatomy and anastomosis  procedure.

Operative shots: (image1, image2, image3, image4)

Operative specimen after removal. click here

Two weeks after surgery, post-op. gastrographin swallow showed an intact and functioning anastomosis.
(image1, image2, image3)

Histopathology: Teratoma of the cardio-oesophageal junction.
Naked eye appearance. Click here.