Endocrinol Metab.  2011 Sep;26(3):272-275. 10.3803/EnM.2011.26.3.272.

A Case of Adrenal Teratoma

• Kim JY
• Cho YZ
• Lee KW
• Lim DM
• Park KY
• Kim BJ

• KMID: 2169182
• DOI: http://doi.org/10.3803/EnM.2011.26.3.272

Abstract

Teratoma is a congenital tumor containing tissues derived from all germ layers. Teratoma in the region of the adrenal gland is a very uncommon retroperitoneal tumor. Only 7 cases of adrenal teratoma have been reported worldwide, but in Korea, no similar cases have been reported until now. This case report describes an adrenal teratoma in a 38-year-old healthy woman who was incidentally diagnosed with a left adrenal mass on abdominal ultrasonography during a medical inspection. Computed tomographic scans revealed a 9-cm heterogeneous circumscribed round mass, containing primarily fat tissue, and a solid calcification component in the left adrenal gland. Adrenal hormonal assessment results and biochemical markers for gonadal neoplasia were negative. Result of serum laboratory tests were normal. The patient underwent laparoscopic adrenalectomy. Histologic analysis confirmed the diagnosis of a mature teratoma; the obtained specimen measured 5 x 7 x 7.5 cm and weighed 267 g. The surface of the mass was smooth, and sebaceous tissue and hair with hard material were observed on the incisional surface. The patient was discharged on postoperative day 4, without complications. In this case report, we describe the incidental finding of a teratoma occurring in the adrenal gland region in a healthy woman; the teratoma was laparoscopically excised.

Keyword

Adrenal glands; Adrenal teratoma; Retroperitoneal teratoma

MeSH Terms

Adrenal Glands
Adrenalectomy
Adult
Female
Germ Layers
Gonads
Hair
Humans
Incidental Findings
Korea
Teratoma
Biomarkers

Figure

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  Fig. 1 CT finding of adrenal teratoma. A. Cross section. B. Sagittal section. Two abdominal CT shows a circumscribed round mass, containing with mainly fat tissue, and calcification, solid component in left adrenal gland (arrow).

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  Fig. 2 Gross findings of the excised adrenal mass. Specimen measured 5 × 7 × 7.5 cm and weighed 267 g. Remnant portion of adrenal gland were shown (arrow). The surface of the mass was smooth, and sebaceous tissue and hair with hard material were seen on the incisional surface.

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  Fig. 3 Histology confirms the diagnosis of benign mature teratoma (H&E, × 100). A. Muscle (arrow). B. Skin and skin appendage, neural tissue, hair follicle (arrow). C. Mucous cyst (arrow).

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