Multiple bilateral huge synchronous ovarian mature cystic teratomas: A rarely encountered condition in practice (original) (raw)

Subtle Presentation of Bilateral Ovarian Dermoid Cysts With Unilateral Torsion: A Case Report

Journal of Clinical Gynecology and Obstetrics, 2015

Majority of non-physiological tumors seen in pregnancy are mature cystic teratomas, also known as dermoid cysts. Their discovery in pregnant women poses a vexing problem as there are no established guidelines for their management and multiple factors need to be considered to decide the appropriate strategy. We are reporting a case of bilateral ovarian dermoid cysts in a pregnant woman who presented towards the end of her third trimester and was managed by careful observation until the day of elective cesarean section and bilateral cystectomy. During surgery the team was surprised to discover a torsed dermoid cyst. The striking features of this case were the subtlety of clinical presentation and the absence of typical signs associated with ovarian torsion.

Ovarian Cystectomy for Huge Mature Cystic Teratoma Developed in Less than Five Years: A Case Report

Gynecology and Obstetrics Research - Open Journal, 2016

BACKGROUND Cystic ovarian teratomas, also known as dermoid cysts, are the most common benign ovarian germ cell tumors. They typically occur during reproductive age. Due to the readable accessibility to ultrasonography, the finding of large cystic teratomas over 10 cm is an unusual event. We report a huge mature ovarian cystic teratoma developed in less than five years and was successfully treated by cystectomy.

Bilateral mature cystic teratoma of ovary: A rare case presentation

Indian Journal of Pathology and Oncology, 2020

Mature cystic teratomas are ovarian neoplasms derived from two to three germ cell layers i.e. ectoderm, mesoderm and endoderm. Ovarian teratomas are usually benign tumours of the reproductive age group. They usually have right-sided predisposition. However, only 10-20% of these neoplasms may have bilateral presentation. Here, we present a rare case of bilateral mature cystic teratoma of ovaries in a 32 years old multigravida female who presented with pain lower abdomen from one month. Ultrasonography showed bilateral solid-cystic adnexal lesions along with calcifications in the left adnexal mass. Serum level of CA-125 was within normal range. Laparoscopic bilateral oophorectomy was done along with bilateral tubal ligation. The histopathological examination confirmed the diagnosis of bilateral mature cystic teratoma of the ovaries.

Ovarian Dermoid Cysts: A Comprehensive Review

Journal of Current Clinical Care, 2024

Ovarian dermoid cysts, also known as mature cystic teratomas, are the most common benign ovarian neoplasms, accounting for approximately 20-25% of all ovarian tumors. 1 These germ cell-derived tumors typically contain mature tissue from multiple germ cell layers, including ectoderm, mesoderm, and endoderm. 2 Clinical Presentation Dermoid cysts predominantly affect women of reproductive age, with peak incidence occurring between 20-40 years. 3 The clinical presentation varies significantly: • Asymptomatic: Many dermoid cysts are discovered incidentally during routine pelvic examinations or imaging studies. 4 • Abdominal/Pelvic Pain: Patients may experience chronic or intermittent pain due to:-Mass effect on surrounding structures-Torsion (10-15% of cases)-Rupture (1-2% of cases) 5

Mature teratoma of bilateral ovary: A case report

Medical Science

Women's ovarian tumors are a prevalent type of neoplasm. The most prevalent kind is mature cystic teratoma, which has an 8-15 % bilateral frequency. However, only a few cases of bilateral and multiple sclerosis have been described. A 42-year-old female patient with stomach pain for one day arrived with an unusual case of bilateral multiple dermoid cysts. Her medical history had been relatively normal. The patient had clots passing in the menses. Multiple bilateral ovarian cystic tumors were discovered on ultrasonography. Laparotomy was performed on the patient. The lumps were removed while the remaining ovarian tissue was preserved. In histology, the myometrium is unremarkable. In histology, a cervix segment revealed chronic cervicitis with a Nabothian Cyst. A section of the right ovary revealed characteristics that pointed to a benign cystic teratoma of the right ovary (Dermoid cyst). Histopathology of the left fallopian tube revealed endometriosis. Histopathology confirmed multiple mature cystic teratomas with no signs of malignant cells.

Mature Cystic Teratoma of the Ovary; Clinicopathological Evaluation of 143 Cases in our Series, 5 Years Experience

Gynecology Obstetrics & Reproductive Medicine, 2021

OBJECTIVE: Mature cystic teratoma, also known as a dermoid cyst, is the most common germ cell tumor of the ovary. In this retrospective study, it is aimed to evaluate clinicopathological findings of the patients who were operated on due to the preliminary diagnosis of dermoid cyst. STUDY DESIGN: Between May 2013 and May 2018, the findings of a total of 143 patients who were operated on with a preliminary diagnosis of dermoid cyst in our institution were analyzed retrospectively. In addition to demographic characteristics such as age, parity number and tumor size, lateralization, preoperative tumor markers, surgical procedure, presence of other pathological findings, and the rate of malignant transformation were analyzed. RESULTS: The median age of patients was 35.4 years and the ratio of nulliparous, primiparous, and multiparous patients was 46.9%, 25.2%, and 28%, respectively. The median tumor diameter was 6.7 cm, 50.3% of which were right-sided, 46.9% were left-sided and the remai...

Imaging findings of a large bilateral ovarian teratoma: A case report

2018

Dermoid cyst, or mature teratoma is the most common germ cell tumors of the ovary, originate from the pluripotent germ cell. It may occur at any age with a peak of incidence in the first two decades of live. The majority of patients with dermoid cyst are asymptomatic but abdominal pain or other nonspecific symptoms may occur. Ultrasound is the initial imaging investigation of choice but computed tomography or magnetic resonance imaging can be aided in difficult cases. Here we present a case with large bilateral dermoid cyst presenting in emergency room with abdominal colic and menstrual irregularity. The aim of this case report is to categorize the imaging findings and the role of ultrasonography, CT and MRI in evaluation of dermoid cyst.

Laparoscopic Management of Ovarian Dermoid Cyst in a 31-year-old Woman: A Case Report

World Journal of Laparoscopic Surgery, 2021

Ovarian dermoid cysts, also known as mature teratomas, are one of the ovarian numbers that can develop into malignancy and are mostly found in women aged 20-40 years. Most cases of teratoma mature cystic were discovered accidentally through the imaging examination. We reported a 31-year-old woman with complaints of bleeding from the birth canal for 16 days and accompanied by sharp pain during menstruation. The general condition is good and other vital signs examined were within normal limits. Abdominal ultrasound examination showed a mass in the right adnexa with a size of 12 × 10 × 8 cm and there were longitudinal thin white lines. Laparoscopic right ovarian oophorectomy was performed. After removing the mass was opened and there was a lot of hair in it. There are no complications during surgery and after surgery. The results of the histopathological examination were by the dermoid cyst.

Laparoscopic approach to ovarian dermoid cysts

Chirurgia (Bucharest, Romania : 1990)

Ovarian dermoid cysts (mature cystic teratomas) are a benign type of germ cell tumours and the most common ovarian neoplasms in women of fertile age. The aim of this study was to analyze the safety of the laparoscopic approach in ovarian dermoid cysts. We performed a prospective study between 2006 and ' 2010 including 38 mature cystic teratomas treated either laparoscopically or by open access. All preoperative and postoperative data were included in an MS Access database and statistically analysed with SPSS v. 17 for Windows. The study group was divided into 2 subgroups according to the approach: laparoscopic (25 cases - 2 conversions) and classic (13 cases). The mean age of the patients was 40.34 years (range 19-74): 36.92 years for laparoscopic group and significantly higher 46.21 years for open approach group. Twelve cases were admitted as emergencies either because of complications (torsion or rupture of the teratoma) (11 cases) or associated with acute appendicitis (one ca...