Indian Journal of Pathology and Microbiology
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Year : 2016  |  Volume : 59  |  Issue : 2  |  Page : 200-202

Primary mature cystic teratoma with carcinoid mimicking an adrenal tumor: Report of a rare association and review of literature

Department of Histopathology, Apollo Hospitals, Chennai, Tamil Nadu, India

Correspondence Address:
Swetha Lakshmi Narla
Department of Histopathology, Apollo Hospitals, Greams Lane, Off. Greams Road, Chennai - 600 006, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0377-4929.182012

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Teratomas are neoplasms comprising of tissues derived from more than one germ layer. Most common sites are gonads, sacrococcygeal, mediastinal, retroperitoneal, and pineal region. Here, we report a case of 2 -year-old previously healthy female toddlerwho presented with fever and right upper quadrant abdominal pain. Magnetic resonance imaging (MRI) of the abdomen revealed a right suprarenal nonenhancing cystic mass. Focal calcification was seen in the inferomedial aspect of the cyst. Complete surgical resection of the right adrenal gland was done. The patient had an uneventful postoperative course and was free of recurrence at 8 months follow-up. Primary retroperitoneal teratomas of the adrenal gland are very uncommon (4% of all primary teratomas) and can mimic a primary adrenal tumor, hence should be included in the differential diagnosis of adrenal masses.

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