Lim Yang Shan Edmond, Guo Shuyi, Lee Zhuyi Rebekah, Lee Emma Choon Hwee, Tan Timothy Shao Ern
Department of Diagnostic Radiology, Singapore General Hospital, Singapore.
Department of Diagnostic and Interventional Imaging, KK Women's and Children's Hospital, Singapore.
Acta Radiol Open. 2025 Sep 10;14(9):20584601251377911. doi: 10.1177/20584601251377911. eCollection 2025 Sep.
Teratomas are a common type of germ cell tumours which may be benign or malignant. Benign mature teratomas are the most frequent subtype and typically show intralesional fat and calcifications within a cystic mass. Immature/malignant teratomas are usually larger with irregular solid components, coarse calcifications, small amounts of fat, and with or without necrosis or haemorrhage. Teratomas can manifest in various anatomical locations, particularly in the sacrococcygeal, gonadal, mediastinal, retroperitoneal, and intracranial regions. This article explores the imaging characteristics and diverse locations of teratomas as well as discusses about possible differential diagnoses to facilitate early detection and ensure prompt treatment.
畸胎瘤是一种常见的生殖细胞肿瘤,可为良性或恶性。良性成熟畸胎瘤是最常见的亚型,通常在囊性肿块内显示瘤内脂肪和钙化。未成熟/恶性畸胎瘤通常较大,具有不规则实性成分、粗大钙化、少量脂肪,并有或无坏死或出血。畸胎瘤可出现在各种解剖部位,尤其是骶尾部、性腺、纵隔、腹膜后和颅内区域。本文探讨了畸胎瘤的影像学特征和不同位置,并讨论了可能的鉴别诊断,以促进早期发现并确保及时治疗。