Primary Mature Cystic Teratoma Compressing the Prostate in a 28-Year-Old Male: A Case Report and Literature Review

Chalhoub, Khalil; Zahr, Rawad Abou; Mansour, Elias; Aoun, Mona; Jabbour, Michel E.

doi:10.1155/2019/8970172

Cited by 6 publications

(13 citation statements)

References 18 publications

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“…Our case is an example of teratoid teratoma, as the surgical specimen contained squamous, respiratory, and mucinous epithelium ( Figs. 5 ) [2 , 12] .…”

Section: Discussionmentioning

confidence: 99%

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Extensive mature cystic teratoma in the pelvis of an adult male patient mimicking a prostatic abscess

Alhumayed

Liau

2021

Radiology Case Reports

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Mature cystic teratomas are rare neoplasms composed of tissues from at least two of the germ layers. In the adult male pelvis, these tumors are exceptionally rare; only a small number of cases have been reported in the literature. We describe the case of a 76-year-old male with an extensive mature cystic teratoma in the rectovesical space, perineum, scrotum, and gluteal folds. This was misdiagnosed and managed as a chronic prostate abscess for six years. Few cases in the literature have reported mature cystic teratomas presenting as abscesses in male patients, and none in the male pelvis. This presentation should prompt physicians to consider the diagnosis of teratoma when managing similar cases, especially if cultures are negative and the symptoms recur despite treatment.

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“…Our case is an example of teratoid teratoma, as the surgical specimen contained squamous, respiratory, and mucinous epithelium ( Figs. 5 ) [2 , 12] .…”

Section: Discussionmentioning

confidence: 99%

“…However, they are extremely rare in the male pelvis, especially in older patients. Only seven cases of MCT in the adult male pelvis have been reported [1] , [2] , [3] , [4] , [5] , [6] , [7] .…”

Section: Introductionmentioning

confidence: 99%

Extensive mature cystic teratoma in the pelvis of an adult male patient mimicking a prostatic abscess

Alhumayed

Liau

2021

Radiology Case Reports

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“…Dermoid cysts or mature teratomas are generally benign tumours which originate from uncontrolled proliferation of pluripotent or germ cells and embryonal cells [ 18 ]. While teratomas of germ cells are found in testes and ovaries, teratomas of embryonic cells sources are always congenital and found in extragonadal locations.…”

Section: Prostate and Periprostatic Regionmentioning

confidence: 99%

“…However, depending on their size and location, they may exert mass effect on surrounding abdominal or pelvic organs causing symptoms depending on the organ they are displacing. If large, urinary symptoms such as frequency and retention, abdominal pain and increased bowel movements are commonly reported [ 18 ]. Physical examination may reveal an abdominal or pelvic mass and distension.…”

Section: Prostate and Periprostatic Regionmentioning

confidence: 99%

“…Presence of calcification, fluid–fluid levels, fat and enhancing components is also variable. Pathology usually shows a cystic mass lined by mature squamous epithelium with skin adnexae and hair shafts with keratin [ 18 ]. Surgical resection is the mainstay of treatment and allows symptomatic relief and definitive histological diagnosis (Fig.…”

Section: Prostate and Periprostatic Regionmentioning

confidence: 99%

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Incidental findings in and around the prostate on prostate MRI: a pictorial review

2021

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Prostate MRI has seen rapid growth in use in recent years as an advanced diagnostic modality to detect focal areas of clinically significant prostate cancer, to identify an area for targeted biopsy and to guide management and surveillance. The increase in use has also led to increased diagnosis of incidental lesions arising from structures around the prostate. These incidental findings may be related to the genitourinary system or non- genitourinary system and may have a benign aetiology which needs no additional follow-up, or it may require surveillance and management. The field of view in a multiparametric prostate MRI includes other pelvic organs, neurovascular bundles, bowel, lymph nodes and bones. Being familiar with standard MRI characteristics and a sound knowledge of anatomy of the prostate and surrounding structures can help in distinguishing normal anatomy from pathology. Given that patients undertaking a prostate MRI are usually a cohort with increased anxiety from their known or suspicion of prostate cancer, it is important that radiologists are familiar with these common incidental findings to minimise anxiety to the patient, have a well-informed discussion with the referring clinician and reduce costs associated with unnecessary further testing and follow-up of benign incidental findings. Additionally, being able to diagnose more serious incidental pathologies early can be life-saving and potentially significantly alter patient management.

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Retrorectal Teratoma: A Case Report

et al. 2022

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Primary Mature Cystic Teratoma Compressing the Prostate in a 28-Year-Old Male: A Case Report and Literature Review

Cited by 6 publications

References 18 publications

Extensive mature cystic teratoma in the pelvis of an adult male patient mimicking a prostatic abscess

Extensive mature cystic teratoma in the pelvis of an adult male patient mimicking a prostatic abscess

Incidental findings in and around the prostate on prostate MRI: a pictorial review

Retrorectal Teratoma: A Case Report

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