I've been told that my 15 year old daughter has an immature teratoma - grade 2.
Though no surgical staging was done, there was no gross evidence of implants, peritoneal washings were clear... Post Surgery Diagnosis: Beign right Mature Teratoma of the ovary.
Post-Op, there were some questions about some of the frozen sections of the cyst, so it was sent off to a separate pathology lab.
In looking at the pathology report, I have some questions about terminologies:
Final Microscopic Diagnosis:
Right Ovary, Cystectomy:
Teratoma with Mature and Immature components.
The Immature components are grade 2 (based on the extent of the immature foci).
In the comment section it states:
The immature neuroepithelial foci seen on several slides, total greater than a 40x microscopic field. Oncologic consultation is recommended.
Based on my research, Grading is of extreme importance in determining a course of action.
My question is: Does that comment jive with the final assessment of: Grade 2?
Another question: Would the Oncologist review the pathology, and verify the grade himself, or would I have to request another pathology report be completed?
Another question (sorry): How long can a "frozen section" be kept for a pathological review? (ie: when is it too late?)
We have been to a Gyn/Oncologist, and he said in older patients, he would recomend chemo treatment right away (3 rounds of BEP).... After consulting with a pediatric oncologist, they have determined that we will take a "wait and see" approach. We have monthly appointments set up to do bloodwork, and there will be sonograms and CT scans at regular intervals as well.