Rare Primary Adrenal Tumor: A Case Report of Teratomas and Literatures Review

Abstract

Teratomas are very rare, originating from embryonal germ layers. The majority of them are mature, most common in the gonads, and with only 15% out of gonads. In particular, primary adrenal teratomas are extremely rare. The present study reported a case of a young female patient with right adrenal tumor who underwent intermittent pain in the right waist and abdomen and whose CT of adrenal gland showed an 88 mm × 79 mm × 69 mm mass. Besides, her adrenal gland-related hormones are not abnormal. Laparoscopic adrenal tumor resection was performed on her and the histopathological results confirmed that the mass was mature adrenal teratomas. As a newly diagnosed case, strict and regular follow-up is needed, and it is also necessary to detect her AFP and check her adrenal CT in the future. In addition, we have reviewed the literature from 1952 to the present, and a total of 49 cases of adrenal teratoma have been identified and analyzed.

Two Cases of Adrenal Cysts Lined by Thyroid Follicular Epithelium: Addressing Cellular Origin and Malignancy Concerns

“…Ectopic thyroid tissue may have originally existed, and part of it may have acquired an unknown driver alteration. Primary adrenal teratomas are rare, with only 49 cases reported [ 26 ]. While only a few studies have detailed its histology, multiple layers of embryonic germ cells have been observed, and there has been no description of a monodermal teratoma containing only thyroid tissue.…”