Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00050590.xml
Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2019; 29(04): 452-456
DOI: 10.4103/ijri.IJRI_452_18
DOI: 10.4103/ijri.IJRI_452_18
Case Report
Teratoma involving adrenal gland – A case report and review of literature
Financial support and sponsorship Nil.
Abstract
Teratomas are germ cell tumors which are mainly gonadal in origin. Other common extra-gonadal sites are mediastinal, sacro-coccygeal and pineal regions. Adrenal teratomas are extremely rare and primary adrenal teratomas are even rarer. We reported a case of primary adrenal teratoma in a 60-year-old male. We reviewed literature from 2000 to till date, and found 29 adult cases and 6 paediatric cases of adrenal teratoma. Usually, they are asymptomatic and identified as an incidental finding. Imaging modality such as USG, CT and MRI are useful in diagnosis. Though these tumors are mostly benign, malignant transformation may occur. Treatment includes surgical removal.
Keywords
Abdominal imaging - adrenal teratoma - computed tomography - germ cell tumor - teratoma - X-rayPublication History
Received: 25 November 2018
Accepted: 20 June 2019
Article published online:
21 July 2021
© 2019. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Glazer HS, Weyman PJ, Sagel SS, Levitt RG, McClennan BL. Non-functioning adrenal masses: Incidental discovery on computed tomography. Am J Roentgenol 1982; 139: 81-5
- 2 Zhou L, Pan X, He T, Lai Y, Li W, Hu Y. et al. Primary adrenal teratoma: A case series and review of the literature. Mol Clin Oncol 2018; 9: 437-42
- 3 Ramakant P, Rana C, Singh KR, Mishra A. Primary adrenal teratoma: An unusual tumor-Challenges in diagnosis and surgical management. J Postgrad Med 2018; 64: 112-4
- 4 Kuo EJ, Sisk AE, Yang Z, Huang J, Yeh MW, Livhits MJ. Adrenal teratoma: A case series and review of the literature. Endocr Pathol. 2017. 28. 152-8 Springer Science+Business Media; New York: 2017
- 5 Niu M, Liu A, Zhao Y, Feng L. Malignant transformation of a mature teratoma of the adrenal gland: A rare case report and literature review. Medicine (Baltimore) 2017; 96: e8333
- 6 Mahzouni P, Sabaghi B, Sanei B, Arjang E. Mature cystic teratoma of adrenal gland (adrenal teratoma). Case Rep Clin Pract 2016; 1: 71-3
- 7 Bhatia V, Sharma S, Sood S, Mardi K, Venkat B. Case 231: Retroperitoneal adrenal teratoma presenting as trichoptysis. Radiology 2016; 280: 317-21
- 8 Li H, Zhao T, Wei Q, Yuan H, Cao D, Shen P. et al. Laparoscopic resection of a huge mature cystic teratoma of the right adrenal gland through retroperitoneal approach: A case report and literature review. World J Surg Oncol 2015; 13: 318
- 9 Li S, Li H, Ji Z, Yan W, Zhang Y. Primary adrenal teratoma: Clinical characteristics and retroperitoneal laparoscopic resection in five adults. Oncol Lett 2015; 10: 2865-70
- 10 Nadeem M, Ather MH, Sulaiman MN, Pervez S. “Looks Can Be Deceiving“: Adrenal teratoma causing diagnostic difficulty. Case Rep Urol 2015; Article ID 232591
- 11 Ratkala JM, Shaikb NJ, Saliab D, Choukimatha SM. Rare primary retroperitoneal teratoma masquerading as adrenal incidentaloma. Afr J Urol 2015; 21: 96-9
- 12 Tang DD, Zhang XS, Hao ZY, Zhou J, Liang CZ. A giant primary retroperitoneal mature cystic teratoma in right adrenal region in a 39-year-old female. Int J Clin Exp Med 2014; 7: 1611-3
- 13 Zhao J, Sun F, Jing X, Zhou W, Huang X, Wang H. et al. The diagnosis and treatment of primary adrenal lipomatous tumors in Chinese patients: A 31-year follow-up study. Can Urol Assoc J 2014; 8: E132-6
- 14 Chandramouleeswari K, Surikar S. Primary mature retroperitoneal teratoma involving the adrenal gland. Stanley Med J 2014; 1: 23-6
- 15 Bhatti A, Al-Hindi H, Azzam A, Amin T, Abu-Zaid A. Mature (benign) cystic retroperitoneal teratoma involving the left adrenal gland in a 22-year-old male: A case reportand literature review. Case Rep Oncol Med 2013; 2013: 610280
- 16 Huang D, Wang Y. Left cystic mature adrenal teratoma: A case report. Nan Fang Yi Ke Da Xue Xue Bao 2013; 33: 159-61
- 17 Castillo OA, Vitagliano G, Villeta M, Arellano L, Santis O. Laparoscopic resection of adrenal teratoma. JSLS 2006; 10: 522-4
- 18 Polo JL, Villarejo PJ, Molina M, Yuste P, Menéndez JM, Babé J. et al. Giant mature cystic teratoma of the adrenal region. AJR 2004; 183: 837-8
- 19 Bedri S, Erfanian K, Schwaitzberg S, Tischler AS. Mature cystic teratoma involving adrenal gland. Endocr Pathol 2002; 3: 59-64
- 20 Garg A, Pollak-Christian E, Unnikrishnan N. A rare adrenal mass in a 3-month-old: A case report and literature review. Case Rep Pediatr 2017; 4542321
- 21 Peer S, Robbani I, Mushtaq S. Mature cystic teratoma of adrenal gland: A case report. Sch J Med Case Rep 2016; 4: 926-93
- 22 Narla SL, Jacob S, Kurian A, Parameswaran A. Primary mature cystic teratoma with carcinoid mimicking an adrenal tumor: Report of a rare association and review of literature. Indian J Pathol Microbiol 2016; 59: 200-2
- 23 Ciftci I, Cihan T, Koksal Y, Ugras S, Erol C. Giant mature adrenal cystic teratoma in an infant. Acta Inform Med 2013; 21: 140-1
- 24 Li Y, Zhong Z, Zhao X. Primary mature teratoma presenting as an adrenal tumor in a child. Urology 2011; 78: 689-91
- 25 Taori K, Rathod J, Deshmukh A, Sheorain VS, Jawale R, Sanyal R. et al. Primary extragonadal retroperitoneal teratoma in an adult. Br J Radiol 2006; 79: e120-2
- 26 Bedri S, Erfanian K, Schwaitzberg S, Tischler AS. Mature cystic teratoma involving adrenal gland. Endocr Pathol 2002; 13: 59-64
- 27 Polo JL, Villarejo PJ, Molina M, Yuste P, Menéndez JM, Babé J. et al. Giant mature cystic teratoma of the adrenal region. AJR Am J Roentgenol 2004; 183: 837-8
- 28 Grosfeld JL, Billmire DF. Teratomas in infancy and childhood. Curr Probl Cancer 1985; 9: 1-53
- 29 Bhalla S, Misih K, Rana RS. Teratomas of rare sites: A review of ten cases. J Indian Med Assoc 1991; 89: 291-4
- 30 Narla SL, Jacob S, Kurian A, Parameswaran A. Primary mature cystic teratoma with carcinoid mimicking an adrenal tumor: Report of a rare association and review of literature. Indian J Pathol Microbiol 2016; 59: 200-2
- 31 Shin YR, Kim KA. Imaging features of various adrenal neoplastic lesions on radiologic and nuclear medicine imaging. Am J Roentgenol 2015; 205: 554-63
- 32 Guo YK, Yang ZG, Li Y, Deng YP, Ma ES, Min PQ. et al. Uncommon adrenal masses: CT and MRI features with histopathologic correlation. Eur J Radiol 2007; 62: 359-70
- 33 Resnick EL, Talmadge JM, Winn SS. Mediastinal teratoma diagnosed via ultrasound-guided biopsy. Ultrasound Q 2013; 29: 245-6
- 34 Park SB, Cho KS, Kim JK. CT findings of mature cystic teratoma with malignant transformation: Comparison with mature cystic teratoma. Clin Imaging 2011; 35: 294-300
- 35 Yamashita Y, Torashima M, Hatanaka Y, Harada M, Sakamoto Y, Takahashi M. et al. Value of phase-shift gradient-echo MR imaging in the differentiation of pelvic lesions with high signal intensity at T1-weighted imaging. Radiology 1994; 191: 759-64
- 36 Manchali MM, Sharabu C, Latha M, Kumar L. A rare case of oropharyngeal teratoma diagnosed antenatally with MRI. J Clin Imaging Sci 2014; 4: 15
- 37 Castillo OA, Vitagliano G, Villeta M, Arellano L, Santis O. Laparoscopic resection of adrenal teratoma. JSLS 2006; 10: 522-4
- 38 Chuan-Yu S, Yat-Faat H, Wei-Hong D, Yuan-Cheng G, Qing-Feng H, Ke X. et al. Laparoscopic adrenalectomy for adrenal tumors. Int J Endocrinol 2014; 241854