Disseminated Metastasis after Resection of Sacrococcygeal Teratoma with Mucinous Adenocarcinoma: A Case Report

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Ali Khadiga M.; Ali Mie A.; Abbas Ramy; Abdallah Ahmed; Seteet Ahmed; Daoud Mohamed; Metwally Islam H.

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Journal Paper

Paper Information

Journal: MIDDLE EAST JOURNAL OF CANCER Year:2023 | Volume:14 | Issue:4 Page(s): 578-584

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Title

Disseminated Metastasis after Resection of Sacrococcygeal Teratoma with Mucinous Adenocarcinoma: A Case Report

Author(s)

Keywords

Teratoma

Adenocarcinoma

Mucinous

Unknown primary

Sacrococcygeal

Abstract

Mature teratoma is a common tumor that can undergo malignant transformation, either in ovarian or extragonadal sites. While adenocarcinoma superimposed on sacrococcygeal teratoma is rare, mucinous variants have been reported in only five cases. Here, we present a case of a young girl with disseminated metastasis of mucinous carcinoma, initially of unknown primary origin. Further investigation by a dedicated multidisciplinary team (MDT) revealed a focus of mucinous carcinoma (intestinal type) in a sacrococcygeal teratoma incompletely resected five years earlier. The patient is currently undergoing second-line chemotherapy after experiencing side-effects on the first-line regimen. Pathologists, gynecologic oncologists, and surgical oncologists should exercise caution when dealing with locally aggressive teratomas, thoroughly searching for malignant components and conducting short-term follow-up.

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