scholarly journals Mature Cystic Teratoma in Douglas’ Pouch

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Kenji Ohshima ◽  
Anna Umeda ◽  
Ayako Hosoi ◽  
Toshiya Yamamoto ◽  
Satoru Munakata
Keyword(s):  
Squamous Epithelium ◽  
Laparoscopic Resection ◽  
Ovarian Neoplasms ◽  
Cystic Teratoma ◽  
Mature Cystic Teratoma ◽  
Ovarian Teratoma ◽  
Pathologic Diagnosis ◽  
First Case ◽  
Stratified Squamous Epithelium ◽  
Douglas Pouch

Mature cystic teratoma is one of the most common ovarian neoplasms, but extragonadal teratoma is rare. Teratoma in Douglas’ pouch is extremely rare, and only 12 cases have been reported since the first case was described in 1978. We report a 20-year-old woman with a multicystic mass in Douglas’ pouch that was treated via laparoscopic resection. The tumor consisted of cysts lined by stratified squamous epithelium with an accumulation of keratin debris and various mature tissues. No immature elements or malignancy was found in the tumor, confirming the pathologic diagnosis of a mature cystic teratoma. The teratoma contained no ovarian tissues and both of the ovaries were intact on laparoscopy. These findings suggest that the teratoma originated primarily in Douglas’ pouch rather than being caused by autoamputation of a previously existing ovarian teratoma. This is the first case that simultaneously showed normal ovaries and a teratoma in Douglas’ pouch on laparoscopy.

scholarly journals Laparoscopic resection of uterine lipoleiomyoma which was preoperatively diagnosed as ovarian mature cystic teratoma: a case report

2017 ◽  
Vol 33 (1) ◽  
pp. 116-120
Author(s):  
Kouki Samejima ◽  
Shigetaka Matsunaga ◽  
Yuichiro Kizaki ◽  
Yosuke Gomi ◽  
Tatsuya Narita ◽  
...  
Keyword(s):  
Case Report ◽  
Laparoscopic Resection ◽  
Cystic Teratoma ◽  
Mature Cystic Teratoma

scholarly journals Intestinal Adenocarcinoma Arising from a Mature Cystic Teratoma

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
King Man Wan ◽  
Forough Foroughi ◽  
Rajni Bansal ◽  
Martin K. Oehler
Keyword(s):  
Germ Cell ◽  
Incidence Rate ◽  
Clinical Presentation ◽  
Ovarian Neoplasms ◽  
Germ Cell Tumour ◽  
Cystic Teratoma ◽  
Squamous Cell Carcinomas ◽  
Mature Cystic Teratoma ◽  
Histopathological Diagnosis ◽  
Common Malignancy

Mature cystic teratomas are the most common ovarian germ cell tumour and account for 10–20% of all ovarian neoplasms. Malignant transformation of mature cystic teratomas is rare and has an incidence rate of less than 1%. The most common malignancy are squamous cell carcinomas. Here we present the case of an intestinal adenocarcinoma which is an exceedingly rare malignant entity arising within a mature cystic teratoma. Clinical presentation, imaging and histopathological diagnosis are discussed and previously presented cases in the literature reviewed.

Coexistence of endometriosis in women with mature cystic ovarian teratoma may not be rare.

2020 ◽  
Author(s):  
Heesuk Chae
Keyword(s):  
Early Stage ◽  
Cystic Teratoma ◽  
Operation Time ◽  
Mature Cystic Teratoma ◽  
Ovarian Teratoma ◽  
Advanced Stage ◽  
Clinicopathologic Features ◽  
Complex Group ◽  
The Mean ◽  
Group Serum

Abstract Background We investigated the incidence of endometriosis in women with mature cystic ovarian teratoma and analyzed the clinicopathologic features of this occurrence. Methods From January 2017 through December 2018, we retrospectively studied 71 women who had undergone cystectomy for mature cystic ovarian teratoma (n = 55, teratoma group) and coexistence of endometriosis and mature cystic ovarian teratoma (n = 16, complex group). Serum anti-Müllerian hormone (AMH) levels were measured preoperatively and one month after surgery. Results Sixteen (22.54%) patients had coexistence of endometriosis and mature cystic ovarian teratoma (complex group); 55 patients had mature cystic teratoma alone (teratoma group). Early-stage endometriosis (stage I) was present in eight patients and advanced-stage endometriosis (stage III or IV) was present in eight. In five cases (31.25%), the coexistence of endometrioma and mature cystic teratoma in the same ovary was observed. The mean operation time was significantly shorter in the teratoma group than in the complex group (61.02 ± 22.74 vs. 86.31 ± 35.35 min, p = 0.007). The complex group had more dysmenorrhea (43.8% vs. 7.3%, p = 0.002) and a significantly higher rate of decrease in serum anti-Müllerian hormone (AMH) levels (33.06 ± 24.92 vs. 16.31 ± 28.17%, p = 0.048). Conclusion(s) The prevalence of coexisting endometriosis and mature cystic ovarian teratoma may be underestimated. Patients with this rare concurrence may present with worsening dysmenorrhea and damage to ovarian reserve after surgery may be greater in patients with coexisting endometriosis than in patients with mature cystic teratoma alone.

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 Epidermoid Polycystic Ovaries and Uterine Hypoplasia in a Cow

2020 ◽  
Vol 48 ◽  
Author(s):  
Natália Freitas Souza ◽  
Washington Luiz Assunção Pereira ◽  
Sara Letícia Dos Santos Andrade ◽  
Marcio Alan Oliveira Mour ◽  
Victor Da Costa Mileo ◽  
...  
Keyword(s):  
Dermoid Cyst ◽  
Squamous Epithelium ◽  
Ovarian Function ◽  
Histopathological Examination ◽  
Follicular Development ◽  
Ovarian Teratoma ◽  
Zebu Cattle ◽  
Polycystic Ovaries ◽  
Stratified Squamous Epithelium ◽  
Cut Surface

 Background: Ovarian cysts originate from mature follicles that do not ovulate within the predicted time according to the oestrous cycle. Dermoid cysts are structures lined by keratinized stratified squamous epithelium, without adjacent epidermal structures, filled by keratinic debris and amorphous proteinaceus material. They are small, located below the cortex, near the hilus. There is controversy regarding the teratogenicity of the dermoid cyst. Some authors use the nomenclature of benign cystic ovarian teratoma, others, reports that although the fibrous wall and histological features are similar to teratomas, it is not associated with this germ cell-derived neoplasia.Case: Ovaries and uterus were received from a female, adult bovine, Nelore, from a slaughterhouse. The left ovary measured 6.5x5.0x3.9 cm and weighed 80 g; the right ovary measured 5.7x3.7x3.0 cm and weighed 60 g. Grossly, the ovaries were similar, presenting floating consistency, multilobulated and pointed aspect, and at the cut surface, there was extravasation of mucopurulent content of whitish colour. Regarding to the uterus, macroscopically, the uterine horns were infantile and decrease in the diameter. Fragments of the tissues were collected and fixed in 10% buffered formalin for histopathological examination and the staining of the slides was done with hematoxylin and eosin. Microscopically, in the ovaries, it was observed rare vestigial elements of ovary identifying an atresic follicle. Polycystic formation with cysts exhibiting partial or total coating of a keratinized squamous epithelium was also observed. In the lumen abundant keratinous material was present. The uterine microscopy revealed compact endometrium with areas variably infiltrated by lymphocytes, plasmocytes and occasional neutrophils. Areas devoid of endometrial glands were observed, in addition to other areas with reduced quantity and size. Also, the myoepithelial layer was thin and enlargement of the endometrial vascular space was noted.Discussion: Only one study was found reporting three cases of unilateral dermoid cyst in bovine ovary, also from slaughterhouse. Dermoid cysts appear most often in Zebu cattle. Clinically, these cysts do not necessarily result in infertility and do not interfere in the ovarian functions, due to this, the ovaries are not referred for histopathology examination, which difficult its classification. However, in this study the histological examination showed the absence of follicular development, which characterizes infertility, including endocrine dysfunction. Macroscopically ovarian dermoid cysts are similar to abscesses. It has a viscous or milky content inside and, at the cut surface, usually the content project to the surface. Histologically, there are dilated cysts containing material in the lumen at various stages of keratinization conferring a lamellar aspect and a keratinized stratified squamous epithelium. In this study, we observed pseudostratified epithelial lining containing cilia in addition to lumen keratin content, without follicles or adnexal structures, corroborating the findings in the literature. Also, it was observed uterine hypoplasia, which occurs due to failure of the development of the paramesonephric ducts during embryonic development. Ovarian dermoid cysts associated with uterine hypoplasia are infrequent in animals and, clinically, may not present changes in fertility and ovarian function.

scholarly journals Submental midline branchial cleft cyst: a first case report in literature

2019 ◽  
Vol 5 (3) ◽  
pp. 808
Author(s):  
Mada Lakshmi Narayana ◽  
Vivek Viswambharan ◽  
B. N. Kumarguru
Keyword(s):  
Congenital Abnormality ◽  
Cystic Lesion ◽  
Squamous Epithelium ◽  
Branchial Cleft Cyst ◽  
Lateral Aspect ◽  
Tongue Protrusion ◽  
First Case ◽  
Stratified Squamous Epithelium ◽  
Branchial Cleft ◽  
Branchial Cleft Cysts

<p class="abstract">A branchial cleft cyst is a congenital abnormality typically located over the lateral aspect of neck. A 3 year old boy presented with a gradually progressive painless swelling below his chin since 1 year. CT scan demonstrated well defined cystic lesion in submental region. Excision was done and histopathology showed the cyst lined by stratified squamous epithelium and at places lined by pseudo stratified ciliated columnar epithelium with subepithelial lymphocytes suggesting branchial cyst. Branchial cleft cysts should also be considered as one of the differential diagnoses in cystic midline lesions of the neck, if it’s not moving with deglutition and with tongue protrusion.</p>

scholarly journals Mature Ovarian Teratoma with Carcinoid Tumor in a 28-Year-Old Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Stamatios Petousis ◽  
Ioannis Kalogiannidis ◽  
Chrysoula Margioula-Siarkou ◽  
Alexandros Traianos ◽  
Dimosthenis Miliaras ◽  
...  
Keyword(s):  
Ct Scan ◽  
Carcinoid Tumor ◽  
Surgical Approach ◽  
Pap Smear ◽  
Cystic Teratoma ◽  
Mature Cystic Teratoma ◽  
Ovarian Teratoma ◽  
Ovarian Mass ◽  
Gynecological Examination ◽  
Gastric Type

Introduction. Coexistence of carcinoid tumor inside a mature cystic teratoma is an extremely rare phenomenon, especially in young women. We present the case of a 28-year-old woman diagnosed with a right ovarian carcinoid and treated uneventfully with conservative surgical approach.Case Report. A 28-year-old woman, gravid 0, parity 0, presented to our department for her annual gynecological examination and Pap smear test. During her examination, a mobile cystic mass was detected in the right lower abdomen. Ultrasound indicated a right ovarian mass 10.5 × 6.3 cm, confirmed by CT scan. Further investigation revealed AFP levels (1539 ng/mL). The ovarian mass was excised by laparoscopy, leaving intact the remaining right ovary. Frozen sections showed a mature cystic teratoma. However, paraffin sections revealed the presence of a small carcinoid within the teratoma’s gastric-type mucosa. The patient was set to a close followup. Nine months postoperatively, ultrasound pelvis imaging and CT scan of the abdomen as well as serum tumor markers have shown no evidence of recurrence disease.Conclusion. Despite the weak evidence, fertility spare surgical approach for women wanting to preserve their genital tract might be a reasonable option.

scholarly journals Squamous cell carcinoma arising in ovarian mature cystic teratoma: report of three cases

1970 ◽  
Vol 2 (3) ◽  
pp. 248-250 ◽  
Author(s):  
R Bashyal ◽  
MC Lee
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Postmenopausal Women ◽  
Malignant Transformation ◽  
Squamous Cell ◽  
Malignant Tumors ◽  
Cystic Teratoma ◽  
Squamous Cell Carcinomas ◽  
Mature Cystic Teratoma ◽  
First Case

Malignant transformation of mature cystic teratoma of the ovary is rare. A wide variety of malignant tumors may arise within benign mature cystic teratoma. The most common form of malignant transformation of a mature cystic teratoma is squamous cell carcinoma. We report a series of three cases that developed squamous cell carcinoma in a benign ovarian cystic teratoma. Two of the carcinomas occurred in postmenopausal women: 51-year-old (case # 2) and 60 year-old (case # 3). The first case occurred in a 33-year-old woman. Histologically, all three cases were moderately differentiated squamous cell carcinomas and were confined to the ovaries. The aim of this study was to review our experience with this disease and to review the literature. DOI: http://dx.doi.org/10.3126/jpn.v2i3.6032 JPN 2012; 2(3): 248-250

Sign in / Sign up

Export Citation Format

Share Document