Cystic teratoma of the ovary: CT detection.

Buy, Jean Noël; Ghossain, M.; Moss, AA; Bazot, Marc; Doucet, Marc; Hugol, D.; Truc, J B; Poitout, P; Ecoiffier, J

doi:10.1148/radiology.171.3.2717741

Cited by 176 publications

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“…Rokitansky protuberance as well as white dots and/or white balls that could be attributed to the presence of sebaceous serous tissue, hair or calcified tissues such as bone and/or teeth, as ultrasonographic discriminator markers are usually observed [10,18,19] (Figure 5). …”

Section: Discussionmentioning

confidence: 99%

Immature Ovarian Teratoma in a 21 Year –Old Woman: A Case Report and Review of the Literature.

Stavrou¹

2015

J Gen Pract

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with specific tumor markers .So, tumor markers Ca 15-3, Ca19-9, Ca 125, and CEA were fluctuated in normal ranges. Serum levels of alphafetoprotein (a-FP) were significantly elevated reaching the plateau of 392 iu/ ml (normal ranges: <9.5 iu/ml), supporting the sonographically evoked opinion of underlying malignancy. Except that AST (62 IU/L), ALT (73 IU/L) and LDH (309 IU/L) were mildly increased.Because of the young profile of the patient, MRI of upper and lower abdomen has been also performed; similarly to ultrasonographic report, MRI noticed the presence of excessive ascites; it also described a heterogeneous right ovarian mass of 88 × 81 × 100 mm presenting cystic, solid and hemorrhagic contents, fixed to the broad ligament of the uterus. It also revealed 2 thin walled cysts of 4, 3 cm and 2, 4 cm in the left ovary without solid parts. Intraperitoneal tissue in the region of upper abdomen was described, implying the possibility of underlying peritoneal carcinomatosis. The liver, the biliary system, the spleen, the pancreas and the adrenals were normal. MRI didn't reveal enlarged paraaortic, mesenteric, iliac or inguinal lymph nodes (Figure 2). Chest X-ray and ultrasonographically breast examination were normal. Initially, ascites suction was realized in order to alleviate from pressing symptoms. In the operation theater under general anesthesia, laparoscopy was performed with the technique of the four ports for better abdominal exploration in the overweight patient; 4 to 5 liters of ascites were aspirated for cytological examination. The organs of the upper abdomen were normal, without implantations in the peritoneum or omental disease. The uterus and the left adnexa were normal but a mass 10-12 cm of right ovary characterized by abnormal surface was revealed. So exploratory laparotomy followed with vertical incision .Then the cystic lesion was removed and sent for frozen section. The rapid biopsy was positive for

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Section: Discussionmentioning

confidence: 99%

Immature Ovarian Teratoma in a 21 Year –Old Woman: A Case Report and Review of the Literature.

Stavrou¹

2015

J Gen Pract

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“…It is also advantageous in detecting extraurinary retroperitoneal and pelvic masses that may cause ureteral compression as was the case with this patient. Computed tomography has 98% sensitivity in diagnosing ovarian dermoid cysts through identification of fat, teeth, bone or other stigmata (7).…”

Section: Discussionmentioning

confidence: 99%

Ovarian Dermoid Cyst Causing Distal Ureteral Obstruction

et al. 2015

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“…12 These tumors are benign 98% of the time and rarely develop malignancies. 13 Complications of mature cystic teratomas include rupture; malignant degeneration; or the most common complication, torsion. Torsion is a complication of larger teratomas, described as 11.0 cm or larger, with the majority averaging 6.0 cm.…”

Section: Discussionmentioning

confidence: 99%

A calcific pelvic mass in a woman with chronic spinal pain: a case of mature cystic teratoma

Kaeser

McDonald²,

Kettner

2011

Journal of Chiropractic Medicine

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Objective: The purpose of this case is to describe findings of a mature cystic teratoma and to further provide differential diagnoses for ovarian pelvic masses and calcifications. Clinical Features: A 27-year-old woman presented to a chiropractic teaching clinic with a chief complaint of chronic multilevel spinal pain. During a full spine radiographic examination, radiopaque densities were incidentally identified in the pelvic bowl visualized through a gonad shield. Follow-up pelvic radiography revealed several radiopacities of uniform density localized in the pelvic bowl. Intervention/Outcomes: Medical (gynecological) consultation led to ultrasonography of the pelvis that revealed a mature cystic teratoma. The patient underwent complete excision of the mass through a laparotomy procedure. The patient continued to receive chiropractic treatment of her original cervical and lumbar spine complaints, further suggesting that the pelvic mass was not a source of her musculoskeletal complaints. Conclusion: This case demonstrates the detection and proper referral of a patient with a calcific mass. The presence of a pelvic mass, suspected of arising from the ovary, requires additional diagnostic imaging and careful clinical correlation.

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Cystic teratoma of the ovary: CT detection.

Cited by 176 publications

References 0 publications

Immature Ovarian Teratoma in a 21 Year –Old Woman: A Case Report and Review of the Literature.

Immature Ovarian Teratoma in a 21 Year –Old Woman: A Case Report and Review of the Literature.

Ovarian Dermoid Cyst Causing Distal Ureteral Obstruction

A calcific pelvic mass in a woman with chronic spinal pain: a case of mature cystic teratoma

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