Surgical excision for neonatal teratoma and cryptorchid testis showed high maturity rates and no recurrences in 10 cases.
This study combined a case report with a review of English-language literature to evaluate 10 cases involving full-term male neonates. The conditions included neonatal mature teratoma, intra-abdominal cryptorchid testis, and testicular torsion. Surgical intervention consisted of excision performed either via laparoscopic surgery or laparotomy.
Pathological assessment revealed that mature teratomas were the predominant finding, accounting for 90.0% of the cases. Conversely, tumor torsion was observed in 20.0% of the cohort. Regarding the surgical approach, 40.0% of cases underwent laparoscopic surgery while 60.0% required laparotomy. All patients experienced uneventful recovery, and serum alpha-fetoprotein levels demonstrated a physiological decline consistent with postnatal age-related maturation.
No recurrences were reported during the one-month follow-up period. No adverse events, serious adverse events, or discontinuations were documented in this small series. The study notes that tumor growth was progressive in some instances, highlighting the need for timely intervention. However, the absolute numbers for specific outcomes were not reported in the source data.
The practice relevance suggests that evaluation of testicular position should be routine in male neonates with intra-abdominal masses, and gonadal tumors should be included in the differential diagnosis. Multidisciplinary, individualized management is essential for optimizing outcomes. Given the observational nature of the data and the small sample size, these findings should be interpreted with caution.
View Original Abstract ↓
Standardized formal resuscitation training likely reduces neonatal mortality in low- and middle-income countries compared to no training or basic training.
A Simple Training Program Is Saving Newborn Lives in Poor Countries
Related in Pediatrics
From Other Specialties
