Surgical Management of an Extragonadal Trabecular Carcinoid Tumor: A Case Report and Review of the Literature

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Extragonadal germ cell tumors; Trabecular carcinoid tumors; Mature teratoma Postpartum, she was referred for definitive surgical management and diagnosis.The patient was entirely asymptomatic.She had no irregular bleeding, and no lower extremity or back pain.She experienced constipation and irregular bowel movements for several years.Physical exam was unremarkable, with normal lower extremity motor and sensory nervous systems, and a pelvic exam without obvious AbstractExtragonadal malignant transformation of a teratoma is rare, with only six reported cases in the literature.We report a case of a 33-year-old gravida 4 para 2 woman who had incidentally discovered bilateral pelvic masses, which were followed radiographically for nine years.She then underwent surgical resection, which revealed metastatic trabecular carcinoid involving lymph node tissue (left retroperitoneal pelvic mass), and trabecular carcinoid arising in a background of mature teratoma (right presacral mass).This case illustrates the indolent nature of this tumor and the importance of complete surgical resection.