Abstract
Mature cystic teratoma originating in the pancreas is very unusual, often observed as an incidental finding during routine examinations or recognized perioperatively as the patients present with very unspecific clinical symptoms. The confirmatory diagnosis of a pancreatic cystic teratoma is generally made by histopathology after surgical excision. So, the preoperative diagnosis is very challenging, especially differentiation from the other pancreatic pathologies. A 23-year-old woman was admitted to our hospital with a complaint of mild grade periumbilical abdominal pain. A pancreatic mass was revealed on a preliminary abdominal ultrasound examination. Her medical history was unremarkable with no long-standing illness or malignancy. Mature cystic teratoma in the head of the pancreas. Roux-enY choledochojejunostomy with gastrojejunostomy was performed, excising the tumor from the pancreatic head. The postoperative course was uneventful; the patient was asymptomatic and has no evidence of recurrence on a 2-year follow up. Pancreatic cystic teratoma is a benign, well-differentiated, and extremely rare congenital tumor. MRI is the choice of imaging modality and phase-GRE or fat suppression is the best technique for pre-operative dia...Continue Reading
References
Feb 1, 1992·AJR. American Journal of Roentgenology·R KierS M McCarthy
Dec 1, 1980·Digestive Diseases and Sciences·E D DavidsonT Hersh
Mar 1, 1993·AJR. American Journal of Roentgenology·J E Jacobs, B J Dinsmore
Jul 6, 2000·AJR. American Journal of Roentgenology·C A CurryE K Fishman
Jan 11, 2003·European Radiology·Gertraud StrasserWolfgang Schima
Jul 24, 2003·AJR. American Journal of Roentgenology·Vito CantisaniStuart G Silverman
Aug 2, 2008·Journal of Hepato-biliary-pancreatic Surgery·Osamu ItanoHitoshi Otaka
May 22, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jonathan C KingO Joe Hines
Dec 5, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Bobby KalbDiego R Martin
Mar 12, 2010·World Journal of Gastroenterology : WJG·Peng-Fei YuQi Xu
Jun 10, 2010·World Journal of Gastroenterology : WJG·Bo XiaoZhao-Hua Zhai
Feb 24, 2012·Radiology·Ruedi F Thoeni
Feb 20, 2013·Oncology Letters·Renata Talar-WojnarowskaEwa Malecka-Panas
Feb 13, 2015·Clinical Endoscopy·Yeon Suk Kim, Jae Hee Cho
Jun 9, 2015·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Abrar AhmedDeepak Agrawal
Apr 14, 2016·Molecular and Clinical Oncology·Yuan GaoPing Zhu
Dec 3, 2016·Internal Medicine·Shin KatoFumihito Kunishima
Apr 19, 2017·AJR. American Journal of Roentgenology·Sanaz JavadiKhaled M Elsayes
Feb 1, 2018·Medicine·Bin YangWenshuai Duan
Apr 12, 2018·Medicine·Zhi LiShu Gong
Aug 25, 2018·Visceral Medicine·Thomas L Bollen, Frank J Wessels