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Ovarian Cystic Teratoma

Presentation

We present 2 new cases and review the literature for the clinical presentation and morphological appearances of the cysts and balls. We also present our histology findings on a third case reported in the international literature. [ncbi.nlm.nih.gov]

Gastrointestinal

  • Hyperactive Bowel Sounds

    On physical examination, her abdomen was distended with hyperactive bowel sounds and dullness to percussion. Cancer antigen-125 was mildly elevated. [cancerjournal.net]

Jaw & Teeth

  • Periodontitis

    Photomicrographs showing (B) usual features of odontoblast layer (×20) and (C) lack of cementum and periodontal ligament on root surface (×20). (A-C, Hematoxylin-eosine-safran stain.) [oooojournal.net]

Urogenital

  • Adnexal Mass

    Caption: Another view of the right adnexal mass Description: The cystic mass with the mobile contents seen again. [sonoworld.com]

    We have 47-year-old woman who underwent total abdominal hysterectomy for right adnexal mass. As her ultrasound report revealed a right adnexal mass with solid and cystic components. [jnhrc.com.np]

    The identification of fat via CT or MRI, tooth components with plain radiograph, or a cystic adnexal mass with some mural components using US, allow the diagnostic of mature cystic ovarian teratoma. [posterng.netkey.at]

    Management of adnexal masses. Obstetrics & Gynecology. 2007;110(1):201–214. [PubMed] [Google Scholar] 2. Royal College of Obstetricians and Gynaecologists (RCOG) Management of Adnexal Masses in Premenopausal Women. [ncbi.nlm.nih.gov]

  • Cul De Sac Mass

    Additionally, a 10 × 7 × 6 cm right cul-de-sac mass with a fat-fluid level and calcification was noted, which is consistent with a cystic ovarian teratoma ( Fig. 1A ). [ajronline.org]

Workup

[…] histopathologic features with data from ancillary techniques such as immunohistochemistry and cytogenetics and discussions of the relevant clinical manifestations of gynecological diseases to provide you with the necessary tools to make a comprehensive diagnostic workup [books.google.com]

[…] shadowing calcific or dental (tooth) components the presence of fluid-fluid levels 5 multiple thin, echogenic bands caused by the hair in the cyst cavity: the dot-dash pattern color Doppler: no internal vascularity internal vascularity requires further workup [radiopaedia.org]

An extensive diagnostic workup was performed, including fluorescein angiography, serologic testing for infectious etiologies including syphilis and tuberculosis and a temporal artery biopsy. [ncbi.nlm.nih.gov]

Ultrasound

  • Ovarian Mass

    A 55-year-old woman presented with an asymptomatic right ovarian mass, showing features of cystic teratoma according to preoperative computed tomography and magnetic resonance imaging. [ncbi.nlm.nih.gov]

    No ovarian mass was detected on CT scan performed 5 years earlier, and an ovarian mass should have been observed on CT scan (Figure 2B). The patient was discharged to her home. [journals.sagepub.com]

    Presentation A 42-year-old woman underwent an ultrasound for an ovarian mass. Caption: Sagittal image of the right adnexa Description: A complex cystic mass is seen in the right adnexa, replacing the entire right ovary. [sonoworld.com]

    A goose-egg-sized mass was palpable in the left lower abdomen on physical examination. Ultrasonography revealed a cystic ovarian mass with internal echogenecity. [jpatholtm.org]

    (c) Computed tomography of the abdomen and pelvis displays an ovarian mass about 20 cm × 18 cm Click here to view A total hysterectomy and bilateral adnexectomy were performed. [tcmjmed.com]

Treatment

Surgery remains the mainstay of treatment. Use of cisplatin and dacarbazine may be considered in a patient with metastatic disease. [ncbi.nlm.nih.gov]

Prognosis

Moreover, we review systematically the disease from the following aspects, that origin, clinical characteristics, accessory examination, pathological features, diagnosis, differential diagnosis, treatment, prognosis. [ncbi.nlm.nih.gov]

In this study, the incidence, histologic types, and prognosis of the malign transformed MCT were assessed. [turkiyeklinikleri.com]

The review indicates that prognosis of adenocarcinoma is as poor as that for squamous cell carcinoma arising from a MCT. Conclusions: In general, as with this case, prognosis of advanced adenocarcinoma associated with a MCT is poor. [karger.com]

Etiology

The etiology of ectopic ovary is poorly understood. The ectopic ovaries may occur in two ways. [synapse.koreamed.org]

An extensive diagnostic workup was performed, including fluorescein angiography, serologic testing for infectious etiologies including syphilis and tuberculosis and a temporal artery biopsy. [ncbi.nlm.nih.gov]

The etiology of autoamputation is either congenital [3] or acquired, but is usually thought to be acquired, as these two structures have different embryologic origins [4]. [wjso.biomedcentral.com]

Etiology CMV retinitis is caused by cytomegalovirus, a double stranded DNA virus in the herpesviridae family. It is often associated with HIV/AIDS and was extremely rare prior to the AIDS epidemic. [eyewiki.aao.org]

Epidemiology

Katsube Y, Berg J W, Silverberg S G 1982 Epidemiologic pathology of ovarian tumours: a histopathologic review of primary ovarian neoplasms diagnosed in the Denver Standard Metropolitan statistical Area, 1 July – 31 December 1969 and 1 July 31 December [cogprints.org]

However, there is the lack of epidemiological report on the incidence of CMV retinitis in the AIDS patients in China. [bmcinfectdis.biomedcentral.com]

Risk factors for benign, borderline and invasive mucinous ovarian tumors: epidemiological evidence of a neoplastic continuum? Gynecol Oncol 2007; 107:223–230. [clevelandclinicmeded.com]

Epidemiology of Benign Cystic Teratoma Sacrococcygeal teratomas are considered as the most common neoplasm in newborns, with an estimated incidence of 1 per 20,000 births. [lecturio.com]

Epidemiology of the ocular complications of HIV infection in Chiang Mai. J Med Assoc Thai. 2003;86(5):399-40612859094 PubMed Google Scholar 4. [jamanetwork.com]

Pathophysiology

Removal of benign cysts does not decrease future mortality from ovarian cancer. 1,3-5 Back to Top Pathophysiology Provided below is a brief description of the pathophysiology of various types of physiologic and neoplastic ovarian cysts and the potential [clevelandclinicmeded.com]

Pathophysiology of Benign Cystic Teratoma Teratomas are germ-cell tumors arising from one or more of the three germ-cell layers. [lecturio.com]

Josep Dalmau and colleagues in the Department of Neurology at the University of Pennsylvania published a series of papers documenting a link between encephalitis and ovarian teratomas. 1-5 The pathophysiologic connection is thought to be the presence [mdedge.com]

Pathophysiology: Teratomas are made up of a variety of parenchymal cell types representative of more than a single germ layer, usually all 3. Arising from totipotential cells, these tumors typically are midline or para-axial. [csh.org.tw]

Pathophysiology CMV reaches the retina hematogenously and infects the vascular endothelium which then spreads to the retinal cells. Impaired CD4 cell function permits uncontrolled CMV replication. [eyewiki.aao.org]

Prevention

Ovarian dermoid cysts may be visible on plain abdominal radiograph, largely to the calcific 'tooth' component, with on occasion the subtle appearance of adjacent low density due to fat. 3 Treatment is typically surgical resection to prevent torsion or [apamedcentral.org]

Watanabe et al. described a surgical technique to prevent spillage of cyst fluid during operation of cystic ovarian tumors in the pediatric population. [jiaps.com]

Back to Top Prevention and Screening Prevention Oral contraceptives may prevent new functional cysts from forming. 18-19 Oral contraceptives do not, however, hasten the resolution of preexisting cysts. [clevelandclinicmeded.com]

If you had CMV retinitis in the past, ask your provider if you need treatment to prevent its return. Cytomegalovirus retinitis Crumpacker CS. Cytomegalovirus (CMV). In: Bennett JE, Dolin R, Blaser MJ, eds. [medlineplus.gov]

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