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Cystic Teratomas of the Pancreas FREE

Marcelo Mester, MD; Hersz J. Trajber, MD; Carolyn C. Compton, MD, PhD; Helio S. A. de Camargo, Jr, MD; Paulo C. Cardoso de Almeida, MD; Herbert C. Hoover, Jr, MD
[+] Author Affiliations

Accepted for publication March 31, 1990.

Reprint requests to Division of Surgical Oncology, Massachusetts General Hospital, Boston, MA 02114 (Dr Mester).


Arch Surg. 1990;125(9):1215-1218. doi:10.1001/archsurg.1990.01410210141024
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• Cystic teratomas of the pancreas constitute an extremely rare entity with only nine cases, to our knowledge, described in the world literature. Symptoms are usually due to the compressive effects of the tumor on the neighboring organs. They should be considered in the differential diagnosis of slow-growing benign pancreatic cysts. We describe a 25-year-old woman with a pancreatic teratoma who was operated on in 1976 with the diagnosis of calcified pancreatic cyst. The diagnostic and surgical procedures are described, as well as a 14-year follow-up. The previously published cases are reviewed and the differential diagnosis is discussed. Early diagnosis and the need for total tumor resection are emphasized.

(Arch Surg. 1990;125:1215-1218)

REFERENCES

Warshaw AL, Rutledge PL.  Cystic tumors mistaken for pancreatic pseudocysts . Ann Surg . 1987;;205:393-398.
Freeny PC, Lawson TL. Radiology of the Pancreas . New York, NY: Springer-Verlag NY Inc; 1982;.
Lazaro da Silva A, Moreno M Jr.  Surgery of pancreatic dermoid cyst with ligature of superior mesenteric vein . Arq Gastroent . 1984;;21:183-186.
Iovchev II.  Suppurative dermoid cyst of the pancreas . Vestn Khir . 1972;;108:124.
Gonzalez-Crussi F. Extragonadal teratomas. Atlas of Tumor Pathology . Washington, DC: Armed Forces Institute of Pathology; 1982;:44-49.
Coulson W. Surgical Pathology . Philadelphia, Pa: JB Lippincott Co; 1978;:1.
Willis RA. Pathology of Tumors . 4th ed. East Norwalk, Conn: Appleton & Lange; 1967;.
Assawamatianont S, King AD Jr.  Dermoid cysts of the pancreas . Am Surg . 1977;;43:503-504.
Komarov IF.  Acute destructive pancreatitis in a child . Vestn Khir . 1973;;110:93.
Tobik S, Starzewski J, Walewski W.  A case of retroperitoneal cystic teratoma simulating pancreatic pseudocyst . Pol Przegl Chir . 1974;;46:179-181.
Brunschwig A. The Surgery of Pancreatic Tumors . St Louis, Mo: CV Mosby Co; 1942;.
Bowen B, Ross PR, McCarthy MJ, Olmstead WW, Hjermstad BM.  Gastrointestinal teratomas: CT and US appearance with pathologic correlation . Radiology . 1987;;162:431-433.
Dennis WA.  Dermoid cysts of the pancreas . Surg Clin North Am . 1923;;3:1319.
Pomosov DV, Shpitko FS, Volianik MA.  Dermoid cyst of the pancreas in a child . Vestn Khir . 1973;;110:92.
Kerr AA.  Cysts and pseudocysts of the pancreas . Surg Gynecol Obstet . 1918;;34:431.
Compagno J, Oertel JE.  Mucynous cystic neoplasms of the pancreas with overt and latent malignancy (cystadenocarcinoma and cystadenoma): a clinicopathologic study of 41 cases . Am J Clin Pathol . 1978;;69:573-580.
Weiss SM, Skibber JM, Mohiuddin M, Rosato FE.  Rapid intra-abdominal spread of pancreatic cancer . Arch Surg . 1985;;120:415-416.
Bergenfeldt M, Genell S, Lindholm K, Ekberg O, Arpelin P.  Needle-tract seeding after percutaneous fine-needle biopsy of pancreatic carcinoma . Acta Chir Scand . 1988;;154:77-79.
Bombi JA, Milla A, Badal JM, Piulachs J, Estape J, Cardesa A.  Papillary-cystic neoplasms of the pancreas . Cancer . 1984;;54:780-784.
Kloppel G, Morohoshi T, John HD, et al.  Solid and cystic acinar cell tumor of the pancreas: a tumor in young women with favourable prognosis . Virchows Arch A . 1981;;392:183.
Compagno J, Oertel JE.  Microcystic adenomas of the pancreas (glycogen-rich cystadenomas): a clinicopathologic study of 34 cases . Am J Clin Pathol . 1978;;69:289-298.
Hodgkinson DJ, ReMine WH, Weiland LH.  Pancreatic cystadenoma: a clinicopathologic study of 45 cases . Arch Surg . 1978;;113:512-519.
Warren KW, Hardy KJ.  Cystadenocarcinoma of the pancreas . Surg Gynecol Obstet . 1968;;127:734-736.
Compagno J, Oertel JE.  Solid and papillary epithelial neoplasms of the pancreas, probably of small duct origin: a clinicopathologic study of 52 cases . Lab Invest . 1979;;40:248-249. Abstract.
Bittner K.  Pancreatic teratoma in a 2-year old girl . Wiad Lek . 1970;;23:1251-1252.
DeCourcy JL.  Dermoid cyst of the pancreas . Ann Surg . 1943;;118:394.
Judd ES.  Cysts of pancreas . Minn Med . 1921;;4:75.
Masson JC, Caylor HD.  Dermoid cyst of the pancreas . Surg Clin North Am . 1929;;9:837.

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Warshaw AL, Rutledge PL.  Cystic tumors mistaken for pancreatic pseudocysts . Ann Surg . 1987;;205:393-398.
Freeny PC, Lawson TL. Radiology of the Pancreas . New York, NY: Springer-Verlag NY Inc; 1982;.
Lazaro da Silva A, Moreno M Jr.  Surgery of pancreatic dermoid cyst with ligature of superior mesenteric vein . Arq Gastroent . 1984;;21:183-186.
Iovchev II.  Suppurative dermoid cyst of the pancreas . Vestn Khir . 1972;;108:124.
Gonzalez-Crussi F. Extragonadal teratomas. Atlas of Tumor Pathology . Washington, DC: Armed Forces Institute of Pathology; 1982;:44-49.
Coulson W. Surgical Pathology . Philadelphia, Pa: JB Lippincott Co; 1978;:1.
Willis RA. Pathology of Tumors . 4th ed. East Norwalk, Conn: Appleton & Lange; 1967;.
Assawamatianont S, King AD Jr.  Dermoid cysts of the pancreas . Am Surg . 1977;;43:503-504.
Komarov IF.  Acute destructive pancreatitis in a child . Vestn Khir . 1973;;110:93.
Tobik S, Starzewski J, Walewski W.  A case of retroperitoneal cystic teratoma simulating pancreatic pseudocyst . Pol Przegl Chir . 1974;;46:179-181.
Brunschwig A. The Surgery of Pancreatic Tumors . St Louis, Mo: CV Mosby Co; 1942;.
Bowen B, Ross PR, McCarthy MJ, Olmstead WW, Hjermstad BM.  Gastrointestinal teratomas: CT and US appearance with pathologic correlation . Radiology . 1987;;162:431-433.
Dennis WA.  Dermoid cysts of the pancreas . Surg Clin North Am . 1923;;3:1319.
Pomosov DV, Shpitko FS, Volianik MA.  Dermoid cyst of the pancreas in a child . Vestn Khir . 1973;;110:92.
Kerr AA.  Cysts and pseudocysts of the pancreas . Surg Gynecol Obstet . 1918;;34:431.
Compagno J, Oertel JE.  Mucynous cystic neoplasms of the pancreas with overt and latent malignancy (cystadenocarcinoma and cystadenoma): a clinicopathologic study of 41 cases . Am J Clin Pathol . 1978;;69:573-580.
Weiss SM, Skibber JM, Mohiuddin M, Rosato FE.  Rapid intra-abdominal spread of pancreatic cancer . Arch Surg . 1985;;120:415-416.
Bergenfeldt M, Genell S, Lindholm K, Ekberg O, Arpelin P.  Needle-tract seeding after percutaneous fine-needle biopsy of pancreatic carcinoma . Acta Chir Scand . 1988;;154:77-79.
Bombi JA, Milla A, Badal JM, Piulachs J, Estape J, Cardesa A.  Papillary-cystic neoplasms of the pancreas . Cancer . 1984;;54:780-784.
Kloppel G, Morohoshi T, John HD, et al.  Solid and cystic acinar cell tumor of the pancreas: a tumor in young women with favourable prognosis . Virchows Arch A . 1981;;392:183.
Compagno J, Oertel JE.  Microcystic adenomas of the pancreas (glycogen-rich cystadenomas): a clinicopathologic study of 34 cases . Am J Clin Pathol . 1978;;69:289-298.
Hodgkinson DJ, ReMine WH, Weiland LH.  Pancreatic cystadenoma: a clinicopathologic study of 45 cases . Arch Surg . 1978;;113:512-519.
Warren KW, Hardy KJ.  Cystadenocarcinoma of the pancreas . Surg Gynecol Obstet . 1968;;127:734-736.
Compagno J, Oertel JE.  Solid and papillary epithelial neoplasms of the pancreas, probably of small duct origin: a clinicopathologic study of 52 cases . Lab Invest . 1979;;40:248-249. Abstract.
Bittner K.  Pancreatic teratoma in a 2-year old girl . Wiad Lek . 1970;;23:1251-1252.
DeCourcy JL.  Dermoid cyst of the pancreas . Ann Surg . 1943;;118:394.
Judd ES.  Cysts of pancreas . Minn Med . 1921;;4:75.
Masson JC, Caylor HD.  Dermoid cyst of the pancreas . Surg Clin North Am . 1929;;9:837.

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