Mobile fatty globules in benign cystic teratoma of the mediastinum

Hession, P R; Simpson, William

doi:10.1259/0007-1285-69-818-186

Cited by 14 publications

(12 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…What was quite unusual in this case was the presence of discrete, uniformly sized mobile globules, similar on cut section to chocolate truffles. A similar appearance has been reported in teratomas found in the ovary and mediastinum, but both cases were without spherule formation 5,17 . The reason for the uniformity in the size of the globules in this case is not known, but it is speculated that each globule was formed by the aggregation of sebaceous matter around a tiny focus of debris, squames or fine hair shaft.…”

Section: Discussionsupporting

confidence: 82%

“…Benign cystic teratoma is one of the commonest human germ cell tumours and is often found in the ovary in women of reproductive age 1 . The great diversity in site of occurrence and clinical presentation of teratomas in general occasionally leads to diagnostic difficulty, while the range of unusual to bizarre associated findings has resulted in several reports of novelty value in the world literature 2–9 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Mobile globules in benign cystic teratoma of the ovary

Otigbah

Thompson

Lowe

et al. 2000

BJOG

View full text Add to dashboard Cite

Case reportA 39 year old nulliparous woman was referred to the outpatient department by her general practitioner following the detection of an abdominal swelling, found incidentally during a routine visit to obtain a cervical smear for cytology. She had no other medical complaints and had not noted any pressure symptoms or systemic disturbance in association with the mass. The previous cervical smears had been normal.She had regular menstrual periods, bleeding for five days in a 28 day cycle. There had been no associated bleeding irregularity, pain or significant weight loss. She was not sexually active and therefore did not use any contraceptives, although she had had an intrauterine contraceptive device inserted for one year, 12 years previously.This was removed following an episode of severe pelvic pain. A left ovarian cyst had also been diagnosed 18 years prior to this referral. The cyst appeared to have resolved spontaneously and no further treatment had been required. She smoked about 20 cigarettes per day and suffered from mild chronic bronchitis. In addition, she was receiving treatment for left lower limb sciatica.General physical findings were normal at presentation. There was no sign of pallor, lymphadenopathy, respiratory or cardiovascular disease. Further examination revealed a nontender, smooth, cystic mass arising from the pelvis which was consistent in size with an 18-week pregnancy. There was no other palpably enlarged organ, no clinical evidence of ascites, and no bruit were heard over the mass. Pelvic examination revealed a mobile, normal sized uterus, separate from, and anterior to the mass.Laboratory investigations performed subsequently were all reported normal. These included estimation of the serum CA125, alpha fetoprotein, carcinoembryonic antigen, human chorionic gonadotrophin and serum carbohydrate antigen C19-9. A full blood count, kidney

show abstract

Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Mobile globules in benign cystic teratoma of the ovary

Otigbah

Thompson

Lowe

et al. 2000

BJOG

View full text Add to dashboard Cite

show abstract

“…These lesions have been described in the ovary, 2-6 retroperitoneum 7 and the mediastinum. 8 The pathognomonic imaging findings on ultrasound and CT in this case are thought to be due to the manner in which the various germ cell derivatives interact with each other. On ultrasound, the relative hyperechogenicity of the fat 'balls' are thought to be a function of the acoustic impedence mismatch between the fat and the surrounding tissue.…”

Section: Discussionmentioning

confidence: 82%

Meat balls: a pathognomonic ultrasound and computed tomography finding in mature cystic teratoma

Mahomedy

Bayat

Seedat

2007

Australasian Radiology

View full text Add to dashboard Cite

show abstract

“…[5] Five years later, Hession and Simpson reported the same CT scan finding of cystic teratoma in the mediastinum. [6] In 2000, Otigbah et al reported ultrasound imaging of mobile globules in a cystic teratoma of the ovary. [7] The most recent two reports of Kawamoto et al and Rao et al found the same ultrasonographic appearance in 2001 and 2002, respectively.…”

Section: Discussionmentioning

confidence: 99%