scholarly journals Mucinous Cystadenoma Arising in a Mature Cystic Teratoma in a 25-Year-Old Patient

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Michelle D. Pintea
Keyword(s):  
Diagnostic Laparoscopy ◽  
Mucinous Cystadenoma ◽  
Cystic Teratoma ◽  
Exploratory Laparotomy ◽  
Abdominal Discomfort ◽  
Mature Cystic Teratoma ◽  
The Right

Coexistence of a mucinous cystadenoma arising in a mature cystic teratoma is infrequently reported. Herein a case of a 25-year-old woman diagnosed with a right ovarian mucinous cystadenoma arising in a mature cystic teratoma is reported. She presented with lower right abdominal discomfort. Ultrasound showed a14.8×7.9×12.5 cm structure on the right adnexa. She underwent a diagnostic laparoscopy, which was converted to exploratory laparotomy, during which a right salpingo-oophorectomy was performed.

scholarly journals Mature cystic teratoma arising from the fimbrial end of the left fallopian tube. a case report

2019 ◽  
Vol 48 (2) ◽  
pp. 030006051988219
Author(s):  
Szu-Yuan Chou ◽  
Chi-Huang Chen ◽  
Shang-Yu Tzeng ◽  
Yu-Ching Wen ◽  
Ming-Cheih Lin ◽  
...  
Keyword(s):  
Fallopian Tube ◽  
Histopathological Examination ◽  
Cystic Teratoma ◽  
Exploratory Laparotomy ◽  
Abdominal Discomfort ◽  
Mature Cystic Teratoma ◽  
Lower Abdomen ◽  
Less Invasive Surgery ◽  
Palpable Mass ◽  
Left Fallopian Tube

We present a rare case of a woman with a mass containing soft tissue, fat, and calcified components attached to the fimbrial end of the left fallopian tube. A 38-year-old nulligravida woman who visited our clinic for infertility counseling had mild abdominal discomfort and a palpable mass in the lower abdomen. Multiple examinations were performed. Preoperatively, we considered that the patient had teratoma or teratocarcinoma of the left ovary. On exploratory laparotomy, we found that she had a mass with protuberances and a bulbous projection at one surface that was attached to the fimbrial end of the left fallopian tube. A histopathological examination showed a mature cystic teratoma that arose from the fimbrial end of the fallopian tube. Obstetricians should be aware of this abnormality. Early detection of this abnormality is advantageous for infertility counseling and planning of less invasive surgery in the hospital.

scholarly journals Acute Abdomen due to Mutual Tangle of Two Small Paratubal Cysts

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Hiroharu Kobayashi ◽  
Shinichi Shibuya ◽  
Kentaro Iga ◽  
Keiichiro Kato ◽  
Airi Kato ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Histopathological Examination ◽  
Lower Abdominal Pain ◽  
Cystic Teratoma ◽  
Cystic Mass ◽  
Mature Cystic Teratoma ◽  
Contrast Enhanced ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Paratubal Cyst

A 30-year-old woman (gravida 0) visited our hospital with a complaint of right lower abdominal pain. Transvaginal ultrasonography revealed a 5-cm swollen right ovary, which was suspected to be a mature cystic teratoma. Pelvic examination revealed moderate pain. Contrast-enhanced computed tomography showed a 44-mm cystic mass containing fat and calcified material in the right pelvis. Since torsion was suspected, emergent laparoscopic surgery was performed. Intraoperative findings were a swollen right ovary without torsion or congestion. Two small pedunculated 1- and 2-cm diameter paratubal cysts that grew from almost the same place of the ampulla of the right fallopian tube were observed. The thin stalk of the 1-cm paratubal cyst was entangled around the stalk of the 2-cm paratubal cyst, with its head congested. Through a small abdominal laparoscopic incision, the tumor of the right ovary and the two paratubal cysts were excised. Histopathological examination revealed that the right ovarian tumor was a mature cystic teratoma, and the two paratubal cysts had no malignancy. This case showed that only a 2-cm tumor with congestion caused the acute abdomen.

scholarly journals Mature Cystic Teratoma of the Fallopian Tube in a Postmenopausal Woman: A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Mustafa Erkan Sari ◽  
Ozhan Ozdemir ◽  
Pinar Kadirogullari ◽  
Funda Arpaci Ertugrul ◽  
Cemal Resat Atalay
Keyword(s):  
Postmenopausal Woman ◽  
Fallopian Tube ◽  
Frozen Section ◽  
Operative Procedure ◽  
Cystic Teratoma ◽  
Cystic Mass ◽  
Hair Follicles ◽  
Mature Cystic Teratoma ◽  
Abdominal Masses ◽  
The Right

Background. Mature cystic teratomas of the fallopian tube are extremely rare and only 54 cases have been reported in the literature. In this paper, we report a mature cystic teratoma of the fallopian tube in a postmenopausal woman and we report the review of literature of tubal cystic teratomas.Case. A 62-year-old, gravida 4 postmenopausal woman presented with pain in the right lower abdominal region for a long time. An 88 × 72 × 95 mm heterogeneous mass which contained calcifications and lipoid components was detected in the right adnexal region by transvaginal ultrasonogram (TV-USG). Serum tumour markers, namely, CA125, CA15-3, and CA19-9, were within normal range. A laparotomy revealed a 9 × 10 cm cystic mass within the fimbrial region in the right fallopian tube, and right salpingoopherectomy was performed consequently. Microscopic examination revealed squamous epithelium with sebaceous glands and hair follicles, and pseudostratified ciliated respiratory epithelium with cartilage and mucous glands. Because the frozen section resulted in a benign dermoid cyst, no further operative procedure was performed. The postoperative follow-up was uneventful and the patient was discharged on the second postoperative day.Conclusion. In cases of undetermined pelvic or abdominal masses, a teratoma of the fallopian tube should be considered.

scholarly journals Elevated serum CA 19-9 levels in dermoid cyst: a predictor of ovarian torsion and tissue necrosis?

2019 ◽  
Vol 8 (6) ◽  
pp. 2571
Author(s):  
Ruby Bhatia ◽  
Simmanjit Kaur ◽  
Sunita Mor ◽  
Naazbir Kaur ◽  
Ritika Gupta
Keyword(s):  
Dermoid Cyst ◽  
Ovarian Tissue ◽  
Elevated Serum ◽  
Cystic Teratoma ◽  
Exploratory Laparotomy ◽  
Carbohydrate Antigen ◽  
Mature Cystic Teratoma ◽  
Reproductive Age ◽  
Tissue Necrosis ◽  
Benign Condition

Dermoid cyst (mature cystic teratoma) with well differentiated derivatives of all the three-germ cell layer is a benign tumour with ovaries being the commonest site. Dermoid cyst accounts for more than half of ovarian tumours in girls below 20 years of age. 80% of dermoid cyst are seen in reproductive age group between 20-40 years. Size of dermoid cyst usually varies between 5-10 cm and it may be bilateral in 10% of cases. Malignant transformation is very rare occurrence only in 1-3% cases, however torsion may occur in 15% of dermoid cyst. Carbohydrate antigen or cancer antigen 19-9 is usually raised in gastrointestinal tumours, pancreatic malignancy, pseudocyst of pancreas. However, it may be raised in some other malignancies and benign condition like torsion of dermoid cyst. Authors report an unusual case of torsion large dermoid cyst with tissue necrosis along with significantly elevates levels of serum CA 19-9. A 30-year-old P1L1 female presented with chief complaint of heaviness and pain lower abdomen and loss of five kilogram weight for last three months. A provisional diagnosis of dermoid was made. Serum CA 19-9 level were 1126 IU significantly raised. An exploratory laparotomy done under regional anaesthesia. A large demoid cyst 12*10 cm with torsion and areas of gangrene in ovarian tissue was seen replacing left ovary. Large and small intestine, stomach, pancreas were explored to rule out any pathology. Histopathology confirmed diagnosis of mature cystic teratoma. There was significant fall in serum Ca 19-9 levels to 247 U/ml two weeks after surgery and levels returned to normal limit six weeks after surgery.

scholarly journals Collision Tumors in Ovary: Case Series and Literature Review

2019 ◽  
pp. 1-10
Author(s):  
Borges A ◽  
Loddo A ◽  
Martins A ◽  
Peiretti M ◽  
Fanni D ◽  
...  
Keyword(s):  
Literature Review ◽  
Ovarian Tumor ◽  
Case Series ◽  
Mucinous Cystadenoma ◽  
Cystic Teratoma ◽  
Mature Cystic Teratoma ◽  
Adequate Treatment ◽  
Collision Tumors ◽  
Brenner Tumor ◽  
Malignant Lesions

Histologically distinct tumors that coexist in an organ without any histological admixture at their interface are denominated collision tumors. We report 3 cases of colliding mature cystic teratoma with mucinous cystadenoma and a case of mature cystic teratoma colliding with benign Brenner tumor in the ovary. We also provide a literature review based on 35 previously published ovarian collision cases. Ovarian tumors from all classes, benign, borderline and malignant lesions may collide. Both our case series and the literature review indicate that ovarian tumor collisions tend to be clinically and ultrasonographically/radiologically unrecognized. The awareness among surgeons, radiologists and pathologists of this rare phenomenon and histological recognition are crucial in order to offer adequate treatment to patients. There is a need to identify novel and more specific imaging clues pointing towards collision tumors in the ovary.

A Case of Mucinous Cystadenocarcinoma Arising from a Mature Cystic Teratoma in the Right Ovary

2001 ◽  
Vol 12 (1) ◽  
pp. 58
Author(s):  
Ji Hoon Lim ◽  
Dong Soo Cha ◽  
Chung Ho Chang ◽  
Young Jin Lee ◽  
In Bai Chung ◽  
...  
Keyword(s):  
Cystic Teratoma ◽  
Mature Cystic Teratoma ◽  
Mucinous Cystadenocarcinoma ◽  
The Right

scholarly journals Ovarian Adenomatoid Tumor Coexisting with Mature Cystic Teratoma: A Rare Case Report

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Mingxia Shi ◽  
Firas Al-Delfi ◽  
Majd Al Shaarani ◽  
Kurt Knowles ◽  
James Cotelingam
Keyword(s):  
Rare Case ◽  
Cystic Teratoma ◽  
Cystic Mass ◽  
Mature Cystic Teratoma ◽  
Pathological Examination ◽  
Adenomatoid Tumor ◽  
Collision Tumors ◽  
Ultrasound Evaluation ◽  
Rare Case Report ◽  
The Right

Adenomatoid tumor of the ovary is rare, and so are collision tumors in this location. The most common histological combination of ovarian collision tumors is the coexistence of mature cystic teratoma with ovarian cystadenoma or cystadenocarcinoma. Presented herein is a rare case of ovarian adenomatoid tumor found incidentally and coexisting with mature cystic teratoma. A 44-year-old woman presented with a one-year history of intermittent right-sided pelvic pain. Ultrasound evaluation revealed a heterogeneous cystic mass in the right ovary, and a clinical diagnosis of teratoma was made. The patient subsequently underwent a right salpingo-oophorectomy. Pathological examination revealed a mature cystic teratoma and coexistent adenomatoid tumor. The two tumors were separate and no transitional features were recognized histologically. To our knowledge, no previous report of coexistence of these two tumors has been reported. Both tumors are benign and completely excised; therefore no adverse consequences are expected.

scholarly journals Successful Laparoscopic Resection of 7 mm Ovarian Mature Cystic Teratoma Associated with Anti-NMDAR Encephalitis

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Masaru Hayashi ◽  
Emi Motegi ◽  
Koichi Honma ◽  
Nobuhide Masawa ◽  
Hideki Sakuta ◽  
...  
Keyword(s):  
Cystic Teratoma ◽  
Antibody Test ◽  
Mature Cystic Teratoma ◽  
Ovarian Teratoma ◽  
Cystic Tumor ◽  
Macroscopic Appearance ◽  
Abdominal Image ◽  
Nmdar Encephalitis ◽  
Disturbance Of Consciousness ◽  
The Right

Anti-NMDAR (N-methyl-D-aspartate receptor) encephalitis is an immune-mediated encephalitis. It has been predominantly described in young women and is commonly associated with an ovarian teratoma. We report a case of anti-NMDAR encephalitis associated with a 7 mm ovarian teratoma that was completely resected by laparoscopic surgery. An 18-year-old woman suddenly presented with personality changes requiring her admission to the department of neurology. After that, she also showed involuntary movements, disturbance of consciousness, and central hypoventilation. As an abdominal image revealed the possibility of a right ovarian teratoma of5×7 mm, a laparoscopic operation was performed. The macroscopic appearance of the right ovary did not show any abnormalities; nevertheless, we performed a partial resection of the right ovary, with reference to the image diagnosis, in order to spare the ovarian reserve. The22×22 mm partially resected ovary contained an intact5×7 mm cystic tumor. The pathological diagnosis was mature cystic teratoma with components of brain tissue. An anti-NMDAR-antibody test proved positive in both serum and cerebrospinal fluid 1 month after the surgery. From these results, she was diagnosed with anti-NMDAR encephalitis. By the administration of cyclophosphamide in addition to the operation, she recovered drastically without any of the symptoms shown before.

scholarly journals Laparoscopic Surgery in Elderly Patients Aged 65 Years and Older with Gynecologic Disease

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Haruhiko Kanasaki ◽  
Aki Oride ◽  
Kohji Miyazaki
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Complications ◽  
Elderly Patients ◽  
Ovarian Tumor ◽  
Mucinous Cystadenoma ◽  
Cystic Teratoma ◽  
Serous Cystadenoma ◽  
Histological Diagnosis ◽  
Mature Cystic Teratoma ◽  
Surgery In Elderly

Objectives. The study was conducted to characterize the use of the laparoscopic surgery in elderly patients. Methods. The medical records of elderly patients aged ≥65 years who underwent laparoscopic surgery were retrospectively reviewed for diseases, surgical procedures, histological diagnosis, intraoperative and postoperative complications, and reasons for presentation. Results. Of the 405 patients who underwent laparoscopic surgery between January 2005 and March 2012, 41 (10.1%) were aged ≥65 years. The most common disease treated by surgery was ovarian tumor, followed by uterine prolapse. Histological diagnosis of ovarian tumor specimens obtained from 23 patients included serous cystadenoma (44.0%), mature cystic teratoma (20.0%), mucinous cystadenoma (20.0%), and endometrioma (4%). In contrast, in the non-elderly group, the most common histological diagnosis was endometrioma (42.9%), followed in order by mature cystic teratoma (28.3%), serous cystadenoma (18.0%), and mucinous cystadenoma (4.7%). While 23.7% of the non-elderly patients required emergency laparoscopic surgery, none of the elderly patients required emergency surgery. Only 1 of 27 patients who underwent surgery for an ovarian or adnexal mass presented with abdominal pain. No one developed serious intraoperative or postoperative complications. Conclusion. Laparoscopic surgery can be safely performed in elderly patients. It should be noted, however, that few elderly patients with benign pelvic mass manifest symptoms before undergoing surgery.

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