Kavagutti Mayume Silva, Marques Eduardo Brenner Cavalcante, da Silva Felipe de Seixas, Trabulsi Maria Fernanda Martinelli, Marini Bruno Roberto Gianini
Hospital Santa Casa de Misericórdia de São José do Rio Preto, St. Fritz Jacobs, 1236 - São José do Rio Preto, 15025-500, Brazil.
Int J Surg Case Rep. 2021 Jan;78:397-400. doi: 10.1016/j.ijscr.2020.11.082. Epub 2020 Nov 19.
Teratomas are germ cell neoplasms that can be malignant or benign. Their occurrence is more prevalent in gonads, but there are rare extragonal reports, and splenic teratomas are exceptionally uncommon.
A 44-year-old woman with a report of abdominal pain on the left flank for 12 h, was evaluated with TC that visualized spleen showing an oval, intraparenchymal, hypodense image with dense areas, submitted to conventional splenectomy, what identified mature cystic teratoma.
Dermoid cysts have nonspecific symptoms, usually related to extrinsic compression of other structures or rupture of the splenic capsule; the diagnosis is complex, since the alterations in imaging exams are not very specific. Thus, the confirmation is made through anatomopathological analysis.
Mature splenic cystic teratomas are rare and treatment should be evaluated according to the presence or absence of symptoms and diagnostic certainty.
畸胎瘤是一种生殖细胞肿瘤，可分为恶性或良性。其在性腺中更为常见，但也有罕见的性腺外报道，而脾畸胎瘤极为罕见。
一名44岁女性，左侧腹疼痛12小时，接受CT检查，脾脏显示为椭圆形、实质内、低密度图像伴有高密度区域，接受了传统脾切除术，术后病理确诊为成熟囊性畸胎瘤。
皮样囊肿症状不具特异性，通常与对其他结构的外在压迫或脾包膜破裂有关；诊断较为复杂，因为影像学检查的改变不太具有特异性。因此，需通过解剖病理学分析来确诊。
成熟脾囊性畸胎瘤罕见，治疗应根据有无症状及诊断确定性进行评估。
