AI Article Synopsis
- Teratomas are rare germ cell tumors that originate from totipotent stem cells, with retroperitoneal types being particularly uncommon and primary adrenal ones even more so, especially in kids.
- A nine-month-old girl had a growing abdomen, and imaging revealed a large mass near her right adrenal gland, which was confirmed as a mature adrenal teratoma after surgery.
- Diagnosing primary adrenal teratomas in children is challenging and heavily relies on imaging and pathology, highlighting the need to include them in differential diagnoses for adrenal masses in pediatric patients.
Article Abstract
Introduction: Teratomas are germ cell neoplasms arising from the totipotent stem cells. Retroperitoneal teratomas are very rare, accounting for about 5 % of all teratomas of those, primary adrenal ones are exceedingly rare, with few cases reported in the English literature in pediatric age group.
Case Presentation: A nine-month-old female presented with a two-month history of gradually increasing abdominal distention, her physical examination revealed a palpable large abdominal mass. Abdominal CT imaging showed a right suprarenal heterogeneous mass. Oncological resection was performed, and histopathology confirmed a primary mature adrenal teratoma.
Discussion: The diagnosis of primary adrenal teratoma is usually challenging and relies predominantly on imaging studies, and histopathological finding.
Conclusion: Primary adrenal teratoma is extremely rare in pediatric age group, and present a significant diagnostic challenge, as a result it should be considered in the differential diagnosis of pediatric patients with adrenal masses.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532896 | PMC |
| http://dx.doi.org/10.1016/j.ijscr.2024.110473 | DOI Listing |
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