Objective: To examine cases of mature cystic teratoma (MCT) that were diagnosed and treated in our clinic regarding their association with fertility, and to detect the rate of malignant degeneration and the types of malignancies. Material and Methods: Patients who underwent surgery due to adnexal mass between April 2012 and August 2017 and were diagnosed as having MCT were retrospectively examined. The mean age of the 80 patients who met the inclusion criteria was 30.60±10.5 years. Nine had infertility according to hospital records. Sixty-seven percent of these (n=6) had accompanying endometriosis and MCT was bilateral in 55.5% (n=5). Malignant degeneration was present in 6.25% (n=5), all were monodermal tumors. Malignant degeneration was more common among patients with larger diameter adnexal masses (9.1±2.9 cm) and in those of postmenopausal age. Tumor markers were within the normal range for patients who developed malignancy. Malignant degeneration was not present among infertile patients with endometriosis. Results: Although MCTs do not seem to negatively affect the ovarian reserve, infertility is prominent in patients with concurrent endometriosis. During assessment, concurrent endometriosis should be considered. Imaging findings, large adnexal masses, and postmenopausal period are important for the assessment of MCT concerning malignant degeneration. It should not be overlooked because tumor markers may be normal. Conclusion: MCTs can be present concurrent with endometriomas. In such cases, infertility is more distinct. In MCT malignant degeneration, mass diameter, complex mass internal structure, and postmenopausal status are important factors.

MCTs can be present concurrent with endometriomas. In such cases the complaints of infertility are more distinct. In MCT malign degeneration, mass diameter, complex mass internal structure and postmenopausal status are important factors.

Sefa KURT ÖZLiken skleroz, kadınlarda daha sık görülen, otoimmun bozuklukların ve dermal değişikliklerin eşlik ettiği, kronik enflamatuar, progressif bir hastalıktır. Liken sklerozlu hastalarının % 85-98'in de anogenital tutulum izlenir. Genital tutulumlu liken skleroz uygun şekilde tedavi edilmez ise, özellikle premenarş ve postmenopozal dönemde vulvada fonksiyonel ve yapısal bozukluklara neden olabilir. Bu makalede, 94 yaşında idrar yapmada güçlük, idrar yapamama yakınmalarıyla başvuran kadın hastada, liken sklerozun vulvar tutulumuna bağlı gelişen, bir vulvar fimozis olgusunun başarılı tıbbi tedavisi literatür eşliğinde sunuldu Anahtar sözcükler: anogenital liken skleroz; topikal östrojen tedavisi; vulvar fimozis ABSTRACT Lichen sclerosus is a progressive, chronic inflammatory disease, which is accompanied with dermal alterations and autoimmune disorders and more common among women. Anogenital lesions are present in 85-98% of lichen sclerosus patients. If lichen sclerosus, which is located in genitalia, is not treated properly, may cause functional and structural disorders in vulva especially during premenarchal and postmenopausal period. In this article, the successful treatment of a vulvar phimosis in a 94-year-old woman, who presented to our clinic with difficulty of urinating is presented with literature.