Five‐year recurrence pattern of mature cystic teratoma according to operation type in young women

Abstract

Mature cystic teratoma (MCT), also known as a dermoid cyst, is the most common ovarian tumor and can develop at any time during a woman's life. 1,2 Although MCT is found incidentally without symptoms in many cases, it can cause severe abdominal pain due to ovarian torsion or chemical peritonitis. [3][4][5] If MCT is found, it is managed through surveillance and surgery.To date, there is no absolute indication for MCT surgery, but surgery is considered if the tumor is large or symptomatic. 6,7 Recurrence can occur in patients who have undergone MCT surgery. Many previous studies of MCT recurrence have reported a recurrence rate of 3%-4%, although the follow-up period varied in length. [8][9][10][11] These studies were conducted involving patients ranging in age from puberty to menopause. The period of adolescence and early adulthood is a period of significant change in a woman's life. Adolescence begins with menstruation under the influence of hormones and many physical changes occur. The twenties are the period when women physically become pregnant or prepare for future pregnancy. According to a previous study, the risk of recurrence of MCT is higher among younger women, and surgery can affect the ovarian reserve. 12 However, there are few studies focused on the recurrence pattern of MCT in young women.

Extragonadal recurrence of benign mature teratoma in the pouch of Douglas

“…The incidence of local gonadal recurrence has been reported as 3% to 4%, 8,10 whereas the incidence of extragonadal recurrence, which is considered to be of extreme rarity, is unknown. Younger age, lower gravidity and parity, large cyst, bilaterality, and intraoperative spillage have been reported as the risk factors of gonadal recurrence 10–13 . In addition, ovarian cystectomy performed by laparoscopy is associated with a higher incidence of intra‐abdominal spillage than laparotomy 3,14 .…”

“…Younger age, lower gravidity and parity, large cyst, bilaterality, and intraoperative spillage have been reported as the risk factors of gonadal recurrence. [10][11][12][13] In addition, ovarian cystectomy performed by laparoscopy is associated with a higher incidence of intra-abdominal spillage than laparotomy. 3,14 Therefore, laparoscopic cystectomy is recognized as a significant risk factor of recurrence.…”