Abstract
Cervical teratomas are rarely encountered in adults. We report herein the case of a 21-year-old woman who was admitted to our hospital for surgical treatment of a neck tumor, 7.5×4.5×2.7 cm in size, located in the left lower pole of the thyroid. Ultrasonography (US) and computed tomography (CT) revealed a multicystic tumor. The levels of carcinoembryonic antigen (CEA), carbohydrate antigen 19–9 (CA 19-9), and squamous cell carcinoma-related antigen (SCC) in the cystic fluid were extremely elevated in contrast to the normal levels found in the serum. The tumor was completely excised and histological examination revealed it to be composed of elements derived from the three germ layers, confirming a diagnosis of benign cystic teratoma.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Gonzalez-Crussi (1982) Extragonadal teratomas. Armed Forces Institute of Pathology, Washington, pp 118–127
Jordan RB, Gauderer MWL (1988) Cervical teratomas: an analysis. Literature review and proposed classification. J Ped Surg 23:583–591
Saphir O (1929) Teratoma of the neck. Am J Pathol 5:313–322
Bale GF (1950) Teratoma of the neck in the region of the thyroid gland. A review of the literature and report of four cases. Am J Pathol 26:656–678
Silberman R, Mendelson IR (1960) Teratoma of the neck. Report of two cases and review of the literature. Arch Dis Child 35:159–170
Keynes WM (1959) Teratoma of the neck in relation to the thyroid gland. Br J Surg 46:466–472
Mochizuki Y, Noguchi S, Yokoyama S, Murakami N, Moriuchi A, Aisawa K, Yamashita H, Nakayama I (1986) Cervical teratoma in a fetus and an adult. Two case reports and review of literature. Acta Pathol Jpn 36:935–943.
Hess W (1854) Beitrag zur Casuistik der Geschwülste mit zeugungsähnilichem Inhalte. Inauguralissertation, M Merck, Gießen, pp 1–24
Kawakami K, Hirabayashi M, Mishima M, Nakagawa M, Kuno K, Sagawa Y, Takeda Y (1985) A case of mediastinal polycystic teratoma with elevated CEA in intracystic fluid (in Japanese with English abstract). Kyoto Daigaku Kekkaku Kyobu Shikkan Kenkyujo Kiyo (Bull Chest Dis Res Inst Kyoto Univ) 18:52–58
Itoh Y, Honda Y, Wakabayashi J, Mizutani Y, Shigehara K, Saito T, Tsutahara S, Igarashi T, Imai S, Sugawara H, Asakawa M, Suzuki A, Kusajima K (1988) A case of mediastinal teratoma accompanying several elevated tumor markers in the cystic fluid (in Japanese with English abstract)., Nippon Kyobu Rinsho (Jpn J Chest Dis) 47:951–955.
Cavallero G (1954) Su di un caso di teratoma della ghiandola tiroide in adulto. Pathologica 46:213–223
Ohara G, Noguchi T (1959) A case of teratoma of thyroid glands (in Japanese with English abstract). Ohara Byoin Nenpo (J Ohara Gen Hosp) 3:17–20
Muto T, Shimada K, Soga J, Seiya T, Koyama M, Wakui T, Suzuki N, Sugano T, Yoshikawa J, Matsuki H (1968) Teratoma of the neck (in Japanese). Rinsho Geka (J Clin Surg) 23:565–571
Endo S, Kida R, Omori H, Ikui A, Sakai F, Yamada Y, Horita M, Dohi F, Abiko J, Tomita H (1992) A surgical case of cervical teratoma (in Japanese). Nippon Jibiinkoka Gakkai Kaiho (J Otolaryngol Jpn) 95:1607
Lurje M (1908) Über ein Teratom der Schilddrüse. Inaugural-dissertation. JJ Meier, Zurich, p 27
Fritscche R (1920) Über ein malignes embryonales Teratom der Schilddrüsengegend. Arch Klin Chir 114:317–331
Buckwalter JA, Layton JM (1954) Malignant teratoma in the thyroid gland of an adult. Ann Surg 139:218–223
Hajdu SI, Hajdu EO (1967) Malignant teratoma of the neck. Arch Pathol 83:567–570
Kemp DR (1967) Teratoma of the neck in the adult. Report of a case and review of the literature. Aust NZ J Surg 36:323–327.
Pilheu FR (1969) Teratoma maligno cervical en el adulto. Pren Med Argent 56:435–437
O'Higgins N, Taylor S (1975) Malignant teratoma in the adult thyroid gland. Br J Clin Pract 29:237–238
Kimler SC, Muth WF (1978) Primary malignant teratoma of the thyroid. Case report and literature review of cervical teratomas in adult. Cancer 42:311–317
Colton JJ, Batsakis JG, Work WP (1978) Teratomas of the neck in adults. Arch Otolaryngol 104:271–272
Dhellemmes C, Caillou B, Gérard-Marchant R (1979) Les tératomes malins du corps thyroide. Ann Anat Pathol 24:305–311
Tobey DN, Mangham C (1980) Malignant cervical teratomas. Otolaryngol Head Neck Surg 88:215–217
Kier R, Silverman PM, Korobkin M, Wain S, Leight G, Burch W (1985) Malignant teratoma of the thyroid in an adult: CT appearance. J Comput Assist Tomogr 9:174–176
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Abe, H., Sako, H., Tamura, Y. et al. Benign cervical teratoma in an adult: Report of a case. Surg Today 27, 469–472 (1997). https://doi.org/10.1007/BF02385717
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02385717