Dermoid cyst in an elderly man and its successful surgical treatment using robotic technologies: Clinical case
Introduction. Primary mature retroperitoneal dermoid cysts constitute a fairly rare pathology that is uncommon in men aged 50 years and older. In this article, we describe a case of a 68-year-old man with a large mature paravesical dermoid cyst extending into the rectovesical pouch and its successfu...
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Bashkir State Medical University
2025-04-01
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| Series: | Креативная хирургия и онкология |
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| Online Access: | https://www.surgonco.ru/jour/article/view/1055 |
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| author | M. F. Urmantsev A. I. Ismoilov M. R. Bakeev |
| author_facet | M. F. Urmantsev A. I. Ismoilov M. R. Bakeev |
| author_sort | M. F. Urmantsev |
| collection | DOAJ |
| description | Introduction. Primary mature retroperitoneal dermoid cysts constitute a fairly rare pathology that is uncommon in men aged 50 years and older. In this article, we describe a case of a 68-year-old man with a large mature paravesical dermoid cyst extending into the rectovesical pouch and its successful surgical treatment using a da Vinci Xi robotic surgical system. Aim. To discuss the advantages of robotic access in the removal of large pelvic masses to achieve a speedy, successful outcome.Materials and methods. An oval-shaped mass in the right side of the lesser pelvis measuring 66×85×62 mm was detected during a pelvic MRI exam performed as a follow-up after an adenomectomy. The attempted ultrasoundguided puncture was unsuccessful. A diagnostic laparoscopy was indicated to collect biopsy samples of the mass, with its subsequent removal if possible. Histology results verified the presence of a retroperitoneal dermoid cyst. In order to ascertain its localization and relationship with surrounding tissues, as well as to determine the structural parameters, a PET CT scan was performed. The planned robot-assisted laparoscopic excision of the retroperitoneal pelvic mass was performed.Results and discussion. A general visual examination showed the removed specimen to be a cyst filled with a mushy mass of dirty white color, having an unpleasant odor and a large number of follicles. The histological study revealed an inflamed, ruptured retroperitoneal dermoid cyst.Conclusion. The clinical case shows that old age mature dermoid cysts are found in the elderly; however, with timely diagnosis, they can be fully treated. |
| format | Article |
| id | doaj-art-07d34f3d616546e3a0ec57765af702ea |
| institution | Kabale University |
| issn | 2076-3093 2307-0501 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Bashkir State Medical University |
| record_format | Article |
| series | Креативная хирургия и онкология |
| spelling | doaj-art-07d34f3d616546e3a0ec57765af702ea2025-08-20T03:57:27ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012025-04-01151727810.24060/2076-3093-2025-15-1-72-78616Dermoid cyst in an elderly man and its successful surgical treatment using robotic technologies: Clinical caseM. F. Urmantsev0A. I. Ismoilov1M. R. Bakeev2Bashkir State Medical UniversityCity Clinical Hospital No.13Bashkir State Medical UniversityIntroduction. Primary mature retroperitoneal dermoid cysts constitute a fairly rare pathology that is uncommon in men aged 50 years and older. In this article, we describe a case of a 68-year-old man with a large mature paravesical dermoid cyst extending into the rectovesical pouch and its successful surgical treatment using a da Vinci Xi robotic surgical system. Aim. To discuss the advantages of robotic access in the removal of large pelvic masses to achieve a speedy, successful outcome.Materials and methods. An oval-shaped mass in the right side of the lesser pelvis measuring 66×85×62 mm was detected during a pelvic MRI exam performed as a follow-up after an adenomectomy. The attempted ultrasoundguided puncture was unsuccessful. A diagnostic laparoscopy was indicated to collect biopsy samples of the mass, with its subsequent removal if possible. Histology results verified the presence of a retroperitoneal dermoid cyst. In order to ascertain its localization and relationship with surrounding tissues, as well as to determine the structural parameters, a PET CT scan was performed. The planned robot-assisted laparoscopic excision of the retroperitoneal pelvic mass was performed.Results and discussion. A general visual examination showed the removed specimen to be a cyst filled with a mushy mass of dirty white color, having an unpleasant odor and a large number of follicles. The histological study revealed an inflamed, ruptured retroperitoneal dermoid cyst.Conclusion. The clinical case shows that old age mature dermoid cysts are found in the elderly; however, with timely diagnosis, they can be fully treated.https://www.surgonco.ru/jour/article/view/1055dermoid cystmature teratomaretroperitoneal spaceold agegerm cell tumorextragonadal localizationrobotic surgical procedures |
| spellingShingle | M. F. Urmantsev A. I. Ismoilov M. R. Bakeev Dermoid cyst in an elderly man and its successful surgical treatment using robotic technologies: Clinical case Креативная хирургия и онкология dermoid cyst mature teratoma retroperitoneal space old age germ cell tumor extragonadal localization robotic surgical procedures |
| title | Dermoid cyst in an elderly man and its successful surgical treatment using robotic technologies: Clinical case |
| title_full | Dermoid cyst in an elderly man and its successful surgical treatment using robotic technologies: Clinical case |
| title_fullStr | Dermoid cyst in an elderly man and its successful surgical treatment using robotic technologies: Clinical case |
| title_full_unstemmed | Dermoid cyst in an elderly man and its successful surgical treatment using robotic technologies: Clinical case |
| title_short | Dermoid cyst in an elderly man and its successful surgical treatment using robotic technologies: Clinical case |
| title_sort | dermoid cyst in an elderly man and its successful surgical treatment using robotic technologies clinical case |
| topic | dermoid cyst mature teratoma retroperitoneal space old age germ cell tumor extragonadal localization robotic surgical procedures |
| url | https://www.surgonco.ru/jour/article/view/1055 |
| work_keys_str_mv | AT mfurmantsev dermoidcystinanelderlymananditssuccessfulsurgicaltreatmentusingrobotictechnologiesclinicalcase AT aiismoilov dermoidcystinanelderlymananditssuccessfulsurgicaltreatmentusingrobotictechnologiesclinicalcase AT mrbakeev dermoidcystinanelderlymananditssuccessfulsurgicaltreatmentusingrobotictechnologiesclinicalcase |