Li Shangjian, Guo Xudong, Wang Hanbo, Suo Ni, Jiang Shaobo
Urology Department, Shandong Provincial Hospital, Lixia District, Jinan City, Shandong Province, China.
J Surg Case Rep. 2024 Mar 6;2024(3):rjae100. doi: 10.1093/jscr/rjae100. eCollection 2024 Mar.
Teratoma are germ cell tumors, most frequently arising in and retroperitoneal teratomas are rare, especially adrenal teratomas. Only a few case reports have been documented in the literature so far. We report the case of a 52-year-old asymptomatic male patient who had an incidental finding of a left adrenal teratoma during an abdominal computed tomography scan; due to the large size of the tumor, he underwent laparoscopic left adrenalectomy, and histopathological examination revealed a mature teratoma of the left adrenal gland, Patient recovering well after surgery and had no recurrence after 6 months of postoperative follow-up. The preoperative diagnosis of adrenal teratoma is challenging because imaging features are usually non-specific. Minimally invasive surgical resection is the best option for diagnosis and treatment of adrenal teratoma.
畸胎瘤是生殖细胞肿瘤，最常发生于[此处原文缺失部位信息]，而腹膜后畸胎瘤罕见，肾上腺畸胎瘤尤为少见。迄今为止，文献中仅有少数病例报告。我们报告一例52岁无症状男性患者，其在腹部计算机断层扫描时偶然发现左肾上腺畸胎瘤；由于肿瘤体积较大，他接受了腹腔镜左肾上腺切除术，组织病理学检查显示为左肾上腺成熟畸胎瘤。患者术后恢复良好，术后随访6个月无复发。肾上腺畸胎瘤的术前诊断具有挑战性，因为影像学特征通常不具有特异性。微创外科手术切除是肾上腺畸胎瘤诊断和治疗的最佳选择。
