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Mucinous tumor arising in a giant sacrococcygeal teratoma: A rare case report

RATIONALE: Teratomas, which most frequently affect adult females, are the most common type of germ cell tumor, it always comprises derivatives of at least 2 germ layers. The most common site of primary teratomas is the ovary. Sacrococcygeal teratomas (SCTs), which are exceedingly rare in adults, are...

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Detalles Bibliográficos
Autores principales: Zhang, Fengtian, Yu, Xiaolong, Zeng, Jin, Dai, Min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5708972/
https://www.ncbi.nlm.nih.gov/pubmed/29381973
http://dx.doi.org/10.1097/MD.0000000000008759
Descripción
Sumario:RATIONALE: Teratomas, which most frequently affect adult females, are the most common type of germ cell tumor, it always comprises derivatives of at least 2 germ layers. The most common site of primary teratomas is the ovary. Sacrococcygeal teratomas (SCTs), which are exceedingly rare in adults, are generally found in newborns or children. PATIENT CONCERNS: A 39-year-old woman presented to our clinic with a 1-year history of gradually aggravated difficulty in micturition and defecation, and a tumor in her right buttock present since birth. Appropriate preoperative examinations showed a large (15.6 cm × 12.2 cm × 30.0 cm) multicystic SCT. DIAGNOSES: Histologic examination confirmed a mucinous tumor arising in a giant SCT. INTERVENTIONS: Abdominoperineal rectal resection was performed. OUTCOMES: The patient recovered well and was discharged on day 33 of admission. LESSONS: We report the first case of a mucinous tumor arising in an SCT, in which the teratoma presented mature tissue elements derived only from the endodermal germ layer (keratinous debris).