Wang Jianqing, Zhang Jibing, Xiao Chuan, Fan Caibin
Department of Urology.
Department of Radiology.
Medicine (Baltimore). 2019 Nov;98(44):e17836. doi: 10.1097/MD.0000000000017836.
Giant mature retroperitoneal teratoma of the adrenal region is quite rare in adults. In most cases, open adrenalectomy is required to ensure complete resection. We describe a case of bilateral giant primary mature cystic teratoma in the region of both adrenal glands in a 22-year-old female patient.
A 22-year-old female patient was admitted to our hospital with no complain after detecting to have 2 giant well circumscribed masses in a routine investigation.
She was diagnosed with bilateral giant primary mature retroperitoneal teratoma of the adrenal region.
The patient underwent en bloc excision of the mass through laparoscopic simultaneous resection.
We carefully separated and retained most of the adrenal tissue on both sides during surgery. Pathology reported mature teratomas. Eleven days after operation, the patient made uneventful recovery and left the hospital without any complication.
Preoperative imaging and histologic analysis confirmed mature retroperitoneal teratomas. It is feasible to treat such giant benign tumors by laparoscopic simultaneous resection.
肾上腺区域的巨大成熟腹膜后畸胎瘤在成人中相当罕见。在大多数情况下，需要进行开放性肾上腺切除术以确保完整切除。我们描述了一例22岁女性患者双侧肾上腺区域的双侧巨大原发性成熟囊性畸胎瘤病例。
一名22岁女性患者在常规检查中发现有2个边界清晰的巨大肿块后，无不适症状入住我院。
她被诊断为双侧肾上腺区域的巨大原发性成熟腹膜后畸胎瘤。
患者通过腹腔镜同时切除进行了肿块的整块切除。
我们在手术过程中仔细分离并保留了两侧的大部分肾上腺组织。病理报告为成熟畸胎瘤。术后11天，患者恢复顺利，无任何并发症出院。
术前影像学和组织学分析证实为成熟腹膜后畸胎瘤。通过腹腔镜同时切除治疗此类巨大良性肿瘤是可行的。
