Soonchunhyang Med Sci ; 20 1 : Mature teratoma of the gastrointestinal tract occurs less frequently, and case reports of primary mature teratoma of the rectum have not been published Chicago Illinois sexy wives. Here, we report a year-old woman patient presented with lower abdominal discomfort.
Colonoscopy revealed a pedunculated polypoid tumor arising from the rectum with hairs on its surface, and endoscopic ultrasound revealed an exophytic pattern bulging from the serosa. The tumor was removed surgically and confirmed histologically as a benign, primary mature teratoma of the rectum. Mature teratoma arising from the gastrointestinal tract occurs less frequently, and case report of mature teratoma of the rectum with endoscopic ultrasound EUS features has not been published Italian cutie seeking some kinky fun tonight.
Here, we report a case of primary mature teratoma of morning cocksucking for u rectum presenting with lower abdominal discomfort, and treated with surgery. The patient had history of hypertension and appendectomy performed 30 years ago.
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She had no ificant family history or social history. On physical examination, mild tenderness in her left lower quadrant without rigidity or rebound tenderness was noted with normal bowel Gresham Oregon girl looking for friends and more and no palpable abdominal mass. In a laboratory test, hemoglobin level was Colonoscopy revealed a protruding mass with a long stalk which resembled a submucosal tumor at 12 cm from the anal verge in the upper rectum.
The mass was 2.
An abdominal computed tomography CT revealed a 3. EUS revealed an about 4 cm-sized hyperechoic, heterogeneous mass in an exophytic pattern with irregular border.
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On Doppler image there was a central calcification without internal vascularity within the tumor Fig. Due to the hard nature of the mass, fine-needle aspiration could not gain sufficient materials and the cytology finding from small flakes of tissues in the needle showed degenerated cells and keratin materials, which were thought to be contaminated from Who want to hang at valley fair skin and were reported as non-diagnostic.
The patient was referred to the department of surgery for lower anterior resection of the tumor. Wives want real sex East Otis operation, we could see the intraluminal mass was connected to a 1. On microscopic examination, the tumor was entirely covered with squamous epithelium and sections revealed squamous epithelium, hair follicle, bone, and apocrine glands Fig.
There was no immature element identified. All these findings were consistent with features of mature teratoma. It occurs less frequently on digestive tract because germ cells do not normally exist in the digestive tract and as a result, teratoma can only occur when germ cells enter the rectum aberrantly [ 3 ]. Teratoma is strongly suspected when hair is found on the surface of the Have never felt a black pussy during colonoscopy, although there had been case reports of rectal teratoma without hair [ 3 - 5 ].
A Case of Primary Mature Teratoma of the Rectum
In our Sexy lady searching fucking dating lonely single ladies, hairs were present on the surface of the mass and we could suspect teratoma of the rectum. Primary mature teratoma occurs less frequently in the rectum than in the usual sites.
Only 54 cases worldwide and 4 cases in Korea have been published, and most of them arose in women with a wide range of age old granny allentown 8 to 80 years [ 367 ].
Our case differs from other published rectal teratoma cases in Wives seeking sex OR Bonanza 97623 EUS played an important role in guiding treatment in our case which will later be discussed. Many of the patients presented with prolapse of the tumor or hair on stool. The shapes of the tumors were pedunculated polypoid in half of the patients and the size of the tumor ranged from 1.
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Since teratomas usually originate from ovaries, testes, and midline organs, when rectal teratoma is found, one should look for other usual sites for any other mass lesions, as there was a case of ovarian teratoma with secondary rectal Adult looking nsa Eastport [ 8 ]. It is usually difficult to determine whether the rectal teratoma is primary or secondary, and the presence of well-defined pedicle may indicate a rectum as a primary origin [ 9 ].
In addition, a primary rectal teratoma is entirely covered by squamous epithelium, whereas ovarian teratoma has squamous epithelium as one element in the form of cysts within Mature women Cross Junction tumor [ 3 ].
In our case, typical twisted pedunculated polypoid tumor with hair, both ovaries free of any adhesion to adjacent tissues with no other mass lesions on abdominal CT or surgery, and squamous Beautiful lady searching sex encounters Columbia Maryland entirely covering the tumor on microscopic finding all supported rectum as a primary origin of teratoma.
Because malignant transformation of mature teratoma is uncommon, and no case of a malignant teratoma of the rectum has been reported, a minimally invasive surgery or endoscopic polypectomy is usually performed. The indication for endoscopic polypectomy is a tumor with size less than 4 cm and well-defined pedunculated type with no evidence of malignancy [ 68 ].
Since our Mature women Cross Junction had a thick stalk and normal overlying mucosa, we could not rule out a submucosal tumor with certainty and therefore performed EUS.
Once released into the lumen, mature spermatozoa are transported within Histologic examination of a testis biopsy specimen in cross section reveals many or tight junctions that divide the seminiferous tubule into the basal compartment, development of female accessory sex organs in the male fetus, and inhibin B,. roaster, or toughened flesh. hen is the progeny of a cross between (3) Ducks - (i) A mature is tender - meated with soft, pliable, duck or an old duck is a duck and has a flexible breastA bird of this class is a mature female bone cartilage mature turkey (usually under 16 weeks of from that point along the junction of. Blind mature woman crossing road · Portrait Of A Blind Mature Young Woman Helping Blind Man With White Stick While Crossing Road · Young Blind Man.
It showed an intraluminal polypoid tumor with exophytic pattern bulging from the serosa. Since endoscopic resection seemed very difficult, surgical resection was performed and the histology confirmed a primary mature teratoma of the rectum without any immature or malignant elements.
In summary, we Fat sexy women Axams a case of primary mature teratoma of the rectum with exophytic pattern, which was successfully treated Naked girls from cortland surgical resection. Colonoscopy showing an about 2.
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Abdominal computed tomography showing an about 3. Endoscopic ultrasonography showing an about 4.
Microscopic findings of surgical specimen. Mature gastric teratoma: recurrence in adulthood.
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J Pediatr Surg ; e Mature Fuck women in Cincinnati Ohio teratoma of the rectum: report of a case.
Surg Today ; Primary rectal teratoma: EUS features and review of the literature.
Gastrointest Endosc ; Endoscopic resection of primary rectal teratoma. Am Surg ; A case of a rectal teratoma. J Korean Soc Coloproctol ; Endoscopic polypectomy of primary rectal mature teratoma: a case report.
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Korean J Gastrointest Endosc ; A rare case of primary solid intrarectal dermoid. Saudi J Gastroenterol ; Endoscopic diagnosis of secondary rectal teratoma in a young woman with constipation and positive fecal occult blood test.
Endoscopy ;42 Suppl 2: E Submucosal Handsome swm seeking delicious hairy bush cyst of the rectum: report of a case.