PMC6584909_01
A) Abdominopelvic CT scan with I/V contrast report showing 2 lesions in the pancreas. B) Coronal section demonstrates the cystic lesion with IV contrast.
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Chest and abdominopelvic CT scan with IV and oral contrast were carried out and showed two lesions, one abating the head of the pancreas (3 x 2 cm in size) and the other baiting the body and tail of the pancreas with clear separation distal (Fig. 1).
Intraoperative picture demonstrates the teratoma.
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The patient underwent midline laparotomy and complete resection both retroperitoneal masses with preservation of the pancreas (Fig. 2).
Histopathology showing mixed embryonic cell. A) Lymph node with metastatic cystic neoplasm. B) Cyst lining is formed of nonkeratinized squamous epithelium. C) Cyst also entangling glandular and smooth muscle elements. D) Areas of hyaline cartilage.
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Histopathology of the masses showed a metastatic germ cell tumour of the teratoma component in the background of lymphoid tissue (Fig. 3).
PET scan showing no recurrence in the surgical bed or other lesion 3 months after surgery.
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The follow-up PET scan at six months postoperatively showed no trace or recurrence of the tumour (Fig. 4).