Are there any ideas why teratoma is benign in children and malignant in adults?
CN: Teratoma is benign by definition. Benign teratoma occurs in both adults and children and, after chemotherapy, we frequently find benign teratoma that must be removed surgically. The incidence of benign teratoma as a presenting syndrome is certainly higher in children, but not exclusively a pediatric disease. Teratoma is a biologic process that can grow locally and become adherent to local structures. If at all possible, it should be removed at some course during the treatment of the disease. If benign teratoma is the only pathologic feature of the tumor, chemotherapy or radiation therapy is not required. 31) When is surveillance appropriate in someone with early stage testicular cancer? CN: This is an extremely complex question and there certainly are no totally right or wrong answers. In non-seminoma, the factors that drive my recommendations and decision making are the availability of excellent surgeons who can perform nerve sparing procedures, the patient’s desire for a family,