Treatment Options for Gastric Teratomas

Gastric teratomas are classified into two main types: benign and malignant. These tumors are most commonly diagnosed in infants under one year of age. Regardless of the type, early intervention is crucial. The treatment plan depends on the severity of the condition and may involve a combination of medical and surgical approaches. Here are the primary treatment methods:

Medical Management: Some infants may experience symptoms such as nausea, vomiting, and gastrointestinal bleeding. In such cases, medications like mucosal protectants are prescribed to manage symptoms. For patients unable to take oral medication, intravenous administration is used to stabilize their condition and provide relief.

Surgical Intervention: Surgery remains the most effective treatment for gastric teratomas. Both benign and malignant cases typically require surgical removal of the tumor. This not only alleviates symptoms but also allows for a definitive diagnosis through pathological examination of the removed tissue.

Chemotherapy: In cases of highly malignant gastric teratomas, surgery alone may not be sufficient. Adjuvant chemotherapy is often recommended after surgery to reduce the risk of recurrence and control the progression of the disease. The choice of chemotherapeutic agents is based on the specific pathology results.

In summary, the approach to treating gastric teratomas differs from that of other tumors. Prompt symptom management is essential, and if surgical removal is feasible, it should be performed as early as possible to support the child's long-term development. For aggressive malignant cases, post-operative chemotherapy tailored to the tumor type can significantly improve outcomes.