Case Reports
doi: 10.25005/2074-0581-2022-24-2-275-281
TERATOMA OF THE PANCREAS
Republican Scientific Oncology Center, Dushanbe, Republic of Tajikistan
Pancreatic teratoma is an infrequent entity. Only a few cases have been reported in the world literature. The primary treatment for mature teratoma is radical surgery. The article presents a case of pancreatic teratoma in a 3-year-old patient. Teratoma was diagnosed preoperatively with an intravenous contrast-enhanced CT scan, which revealed that the common hepatic and splenic arteries enter the tumour walls. Intraoperative revision confirmed the CT data, and corporocaudal pancreatectomy with celiac axis resection (modified Appleby procedure) was performed to achieve R0 resection. In this case, the blood supply to the liver and stomach was derived from the superior mesenteric artery via the pancreaticoduodenal arcades and then through the gastroduodenal artery. The postoperative period was uneventful. The patient was discharged on the eighth day in satisfactory condition.
Keywords: Teratoma, mature teratoma, pancreas, corporocaudal resection, celiac trunk.
References
- Tanaka Y, Koyama S, Shiki Y. Hand-Assisted Laparoscopic Surgery for a Mesenteric Teratoma. Journal of The Society of Laparoscopic & Robotic Surgeons. 2014;18(1):160-164.
- SalimiJ, KarbakhshM, DolatshahiS, Ali Ahmadi S. Cystic teratoma of the pancreas: a case report. Ann Saudi Med. 2004;24(3):206-209.
- Solopova AE, Sologub YuN. Germinogennye opukholi yaichnikov: sovremennyy vzglyad na problemu [Germinogenic ovarian tumors: A modern view of the problem]. Zhurnal akusherstva i zhenskikh bolezney. 2016;2:4-15.
- Jacobs JE, Dinsmore BJ. Mature cystic teratoma of the pancreas: Sonographic and CT findings. Am J Roentgenol. 1993;160:523-4.
- Zhou XH, Ma JK, Valluru B, Sharma K, Liu L, Hu JB. Diagnosis and differentiation of mature cystic teratoma of pancreas from its mimics: A case report. Medicine (Baltimore). 2020;99:47.
- Stepanova Yu A, Karmazanovskiy GG, Shchgyolev AI. Kistoznaya teratoma podzheludochnoy zhelezy [Cystic teratoma of the pancreas]. Vestnik Natsional'nogo mediko-khirurgicheskogo tsentra im N.I. Pirogova. 2008;3(2):95-101.
- Li Z, Ke N, Liu X, Gong S. Mature cystic teratoma of the pancreas with 30 years of clinical course: A case report. Medicine (Baltimore). 2018;97(15):е0405.
- Hoyos A, Sundaresan RS. Resection of mediastinal teratoma. Oper Tech Thorac Cardiovasc Surg. 2001;6(4):209-20.
- Ahmed A, Peng L, Agrawal D. Mature cystic teratoma of the pancreas: Role of endoscopic ultrasound. Pancreatology. 2015;15:445-8.
- Mester M, Trajber HJ, Compton CC, de Camargo HS Jr, de Almeida PC, Hoover HCJr. Cystic teratomas of the pancreas. Arch Surg. 1990;125(9):1215-18.
- Chandrasekhar SN, Surag KR, Kumar Y, Lakkanna S, Preetham R. Mesenteric teratome in elderly famale: A rare case report. Journal of Clinical & Diagnostic Research. 2017;11(1):PD01-PD02.
- Egorov VI, Petrov RV, Starostina NS, Zhurina YuA, Nikolaev NM, Grigorievskiy MV. Neposredstvennye rezul'taty modifitsirovannoy operatsii Appleby: sobstvennyy opyt i literaturnye dannye [Immediate results of the modified Appleby operation: Own experience and literature data]. Gastroenterologiya. 2016;1:94-9.
- Sanchez A, Amatruda JF. Zebrafish germ cell tumors. Adv Exp Med Biol. 2016;916:479-94.
- Mathur P, Lopez-Viego MA, Howell M. Giant primary retroperitoneal teratoma in an adult: A case report. Case Rep Med. 2010;2010:1-3.
- Gershenson DM. Management of ovarian germ cell tumors. J Clin Oncol. 2007;25:2938-43.
- Pinson CW, ReMine SG, Fletcher WS, Braasch JW. Long-term results with primary retroperitoneal tumors. Arch Surg. 1989;124(10):1168-73.
Authors' information:
Murodov Akbar Ismatulloevich
Candidate of Medical Sciences, Deputy Director for Clinical Affairs, Republican Scientific Oncology Center
ORCID ID: 0000-0003-4166-800X
SPIN: 3844-0188
E-mail: hurshed852@mail.ru
Information about support in the form of grants, equipment, medications
The author did not receive financial support from manufacturers of medicines and medical equipment
Conflicts of interest: No conflict
Address for correspondence:
Murodov Akbar Ismatulloevich
Candidate of Medical Sciences, Deputy Director for Clinical Affairs, Republican Scientific Oncology Center
734026, Republic of Tajikistan, Dushanbe, Somoni Ave., 59a
Tel.: +992 (909) 202074
E-mail: hurshed852@mail.ru