PMC7532853_01
PMC7532853_02
axial (A) and coronal CT (B) imaging showing a large left heterogeneous retroperitoneal mass with foci of calcification and fat. A large similar mass involving the VIII liver segment. Left kidney is displaced inferiorly and compressed against the posterior abdominal wall
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F1
A liver mass with the same characteristics was involving the VII, V, IV and VIII segments and measuring 125 x90 x 100 mm (Figure 1).
coronal (A) and axial (B) T2 weighted MR imaging showing a large left heterogeneous retroperitoneal mass with foci of calcification and fat. A large similar mass involving the VIII liver segment
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F2
Control MR imaging revealed a tumor progression with a decrease of the liver lesion (Figure 2).
resected tumor image showed a large complex cystic and solid adrenal mass (A). Postoperative gross specimen showing the liver metastasis (B)
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F3
The liver mass was also removed (Figure 3).
selected histology images demonstrate teratoma with post chemotherapy necrosis
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F4
The anatomopathological finding reveals a primary teratoma and the liver lesion was a metastasis (Figure 4).