Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2006 Oct-Dec;10(4):522-4.

Laparoscopic resection of adrenal teratoma

Octavio A Castillo  1 , Gonzalo Vitagliano, Matias Villeta, Leonardo Arellano, Oscar Santis
Affiliations
Case Reports

Laparoscopic resection of adrenal teratoma

Octavio A Castillo et al. JSLS. 2006 Oct-Dec.

Abstract

Background: Teratoma is a germ-cell tumor that commonly affects the gonads. Its components originate in the ectoderm, endoderm, and mesoderm. Extragonadal occurrence is rare. Teratomas confined to the adrenal gland are exceptional; only 3 cases have been reported in the English-language literature. We report 2 cases of mature teratomas of the adrenal gland that were laparoscopically excised.

Methods: Two patients (ages 8 and 61 years) were diagnosed with adrenal teratoma at our institution. Radiological examination showed a solid 8-cm adrenal lesion in both cases. Hormonal assessment was normal. Both patients underwent laparoscopic transperitoneal adrenalectomy.

Results: Surgical time was 120 minutes and 50 minutes, respectively. One patient was discharged on postoperative day 2, and the other remained hospitalized until day 10. The latter patient required percutaneous drainage of a retroperitoneal collection. Both tumors were identified as mature cystic teratomas. No evidence was present of recurring disease in either patient.

Conclusions: Adrenal teratoma is rare. Laparoscopic transperitoneal adrenalectomy is a feasible, effective technique that enables excellent oncologic results. To our knowledge, this is the first report of laparoscopic adrenalectomy for pure adrenal teratoma.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Excretory urogram showing a mass in the upper pole of the right kidney.
Figure 2.
Figure 2.
Abdominal computed tomography showing an 8-cm heterogenous right adrenal lesion with calcifications.
See this image and copyright information in PMC

References

    1. Bedri S, Erfanian K, Schwaitzberg S, et al. Mature cystic teratoma involving adrenal gland. Endocr Pathol. 2002; 13(1): 59–64 - PubMed
    1. Lam KY, Lo CY. Teratoma in the region of adrenal gland: a unique entity masquerading as lipomatous adrenal tumor. Surgery. 1999; 126(1): 90–94 - PubMed
    1. Cadeddu MO, Mamazza J, Schlachta CM, et al. Laparoscopic excision of retroperitoneal tumor: technique and review of the laparoscopic experience. Surg Laparosc Endosc Percutan Tech. 2001; 11(2): 144–147 - PubMed

Publication types

LinkOut - more resources