Primary Mature Teratoma Presenting as an Adrenal Tumor in a Child: Case Report

Abstract

Teratomas are germ cell tumors which are mainly gonadal in origin. Other common extra-gonadal sites are mediastinal, sacro-coccygeal and pineal regions. Adrenal teratomas are extremely rare and primary adrenal teratomas are even rarer. We reported a case of primary adrenal teratoma in a 5-year-old male child. Usually, they are asymptomatic and identified as an incidental finding. Imaging modalities such as USG, CT and MRI are useful in diagnosis. Though these tumors are mostly benign, malignant transformation may occur. Treatment includes surgical removal. We report a case of a 5-year-old boy who presented with abdominal pain. The results of his physical examinations were unremarkable. Serum and urine markers for a hormonally active tumor were negative. Computed Tomography (CT) scan and total spine MRI showed a voluminous mass of the heterogeneous left adrenal lodge. Postoperative pathologic examination revealed primary mature teratoma.