Mature cystic teratomas (MCTs) are the most commonly seen germ cell tumors of the ovaries. In postmenopausal women, they mostly undergo malignant. The most commonly seen malignancy in these type of germ cell tumors is squamous cell carcinoma of the ovary. An 83-year-old postmenopausal woman presented to us with a similar but rare clinical course that is discussed here.
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