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罕见原发性肾上腺肿瘤:畸胎瘤病例报告及文献复习

Rare Primary Adrenal Tumor: A Case Report of Teratomas and Literatures Review.

作者信息

Wang Xiaomin, Li Xiaoguang, Cai Hongjia, Xiao Wei, Su Peng, Huang Xiang, Luo Xu, Zhang Neng, Fu Ni

机构信息

Department of Urology, The Affiliated Hospital of Zunyi Medical University, Zunyi, China.

Department of Urology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, China.

出版信息

Front Oncol. 2022 May 9;12:830003. doi: 10.3389/fonc.2022.830003. eCollection 2022.

Abstract

Teratomas are very rare, originating from embryonal germ layers. The majority of them are mature, most common in the gonads, and with only 15% out of gonads. In particular, primary adrenal teratomas are extremely rare. The present study reported a case of a young female patient with right adrenal tumor who underwent intermittent pain in the right waist and abdomen and whose CT of adrenal gland showed an 88 mm × 79 mm × 69 mm mass. Besides, her adrenal gland-related hormones are not abnormal. Laparoscopic adrenal tumor resection was performed on her and the histopathological results confirmed that the mass was mature adrenal teratomas. As a newly diagnosed case, strict and regular follow-up is needed, and it is also necessary to detect her AFP and check her adrenal CT in the future. In addition, we have reviewed the literature from 1952 to the present, and a total of 49 cases of adrenal teratoma have been identified and analyzed.

摘要

畸胎瘤非常罕见,起源于胚胎生殖层。它们大多数是成熟的,最常见于性腺,仅有15%发生于性腺以外。特别是原发性肾上腺畸胎瘤极其罕见。本研究报告了一例年轻女性患者,患有右肾上腺肿瘤,出现右腰腹部间歇性疼痛,肾上腺CT显示一个88 mm×79 mm×69 mm的肿块。此外,她的肾上腺相关激素并无异常。对其进行了腹腔镜肾上腺肿瘤切除术,组织病理学结果证实该肿块为成熟肾上腺畸胎瘤。作为一例新诊断病例,需要进行严格且规律的随访,未来还需检测她的甲胎蛋白并检查肾上腺CT。此外,我们回顾了1952年至今的文献,共鉴定并分析了49例肾上腺畸胎瘤病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7289/9124792/eee2fae46993/fonc-12-830003-g001.jpg

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