scholarly journals Case Report of Three Immature Cystic Teratomas in Northern Ghana

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
E. M. Der ◽  
S. Seidu

Background. Preoperative diagnosis of immature cystic teratoma can be challenging for clinicians. In this report, we present three cases.Methods. We describe three women aged 10, 20, and 23 years, respectively, who presented with abdominal masses which were diagnosed by abdominal ultrasound as mature cystic teratomas. All women had emergency laparotomy and oophorectomy.Results. Histopathological examination reported these ovarian tumours to be immature cystic teratomas. This case report also provided a brief summary of the clinicopathological features of all ovarian teratomas diagnosed in two centres during the period of review.Conclusion. Immature ovarian teratoma affects primarily younger patients; it is important for clinicians to have a high sense of suspicion whenever the diagnosis of a germ cell tumour is entertained.

2020 ◽  
pp. 1-2
Author(s):  
Anshu Jamaiyar ◽  
Silky Satya

It is challenging for the clinicians to make a pre-operative diagnosis of Teratomas, especially, if it is a case of immature cystic teratoma. We diagnosed women of age groups 0-20 yrs, 20-40 yrs, 40-60 yrs, >60 yrs,who presented with abdominal masses, which were diagnosed by abdominal Ultrasound as Teratomas, the types of which were best described after a proper Histopathological examination in the Department of Pathology at RIMS. The aims of the current study were to analyse the clinical features of Ovarian teratomas and to discuss it’s management. Women requiring surgery for Ovarian Teratomas should be appropriately counselled about the risks and benefits of laparoscopic and open approaches.


2021 ◽  
Vol 8 (3) ◽  
pp. 416-419
Author(s):  
Bharathi Rao ◽  
Shweta Bhatia ◽  
Pooja K Suresh ◽  
Anusha S Bhatt

Ovarian teratomas are the most common germ cell tumors and are classified as mature, immature and malignant.Mature cystic teratomas, also called dermoid cysts, are the most common germ cell tumour, accounting for upto 70% of benign ovarian masses in the reproductive years and 20% in postmenopausal women.Immature ovarian teratoma affects primarily younger patients and mature cystic teratomas seen in reproductive age groups. This case report provides a brief summary of the clinicopathological features of the ovarian teratomas such as, the immature teratoma which being a rare tumour was diagnosed in a 15 year old adolescent girl, managed surgically by laparotomy followed by chemotherapy, and the other case of a benign mature cystic teratoma in an elderly 52 year old postmenopausal woman, managed surgically although benign cystic teratomas are rare in the postmenopausal age group.


2020 ◽  
pp. 1-2
Author(s):  
Anshu Jamaiyar ◽  
Silky Satya

It is challenging for the clinicians to make a pre-operative diagnosis of Teratomas, especially, if it is a case of immature cystic teratoma. We diagnosed women of age groups 0-20 yrs, 20-40 yrs, 40-60 yrs, >60 yrs,who presented with abdominal masses, which were diagnosed by abdominal Ultrasound as Teratomas, the types of which were best described after a proper Histopathological examination in the Department of Pathology at RIMS. The aims of the current study were to analyse the clinical features of Ovarian teratomas and to discuss it’s management. Women requiring surgery for Ovarian Teratomas should be appropriately counselled about the risks and benefits of laparoscopic and open approaches.


1988 ◽  
Vol 74 (3) ◽  
pp. 365-367
Author(s):  
Alessandro Zerbi ◽  
Marco Braga ◽  
Alessandro Sironi ◽  
Agostino Faravelli ◽  
Valerio Di Carlo

A large exogastric leiomyoblastoma in a 48-year-old male revealed by asymptomatic upper abdominal mass is reported. Abdominal ultrasound, computerized tomography scan and magnetic resonance showed a 20 cm cystic lesion apart from liver and pancreas of undetermined origin. During hospitalization, massive intraperitoneal bleeding due to rupture of the mass was observed. An emergency laparotomy was carried out, and excision of a large, ruptured, cystic mass involving the greater gastric curvature was performed. Microscopy revealed a gastric leiomyoblastoma. Even if infrequent, massive intraperitoneal bleeding is a very serious complication of gastric leiomyoblastoma. Considering the difficulty of an accurate preoperative diagnosis and the risk of intraperitoneal rupture, the authors suggest that similar abdominal masses should be managed by quick diagnostic investigations and early surgical procedures.


Author(s):  
Sunil Vitthalrao Jagtap ◽  
Nitin S. Kshirsagar ◽  
Shubham S. Jagtap ◽  
Saswati Boral ◽  
Nitesh Nasre

Background: Teratomas are belonging to a group of germ cell tumors. It is also referred to as dermoid cyst. Teratomas are most common germ cell tumor of the ovary. Teratomas are composed of various histological types. In this article we are presenting various morphological patterns, its clinical manifestation and its clinical significance.Methods: This is prospective study for a period of 3 years from March 2016 to February 2019 at tertiary care hospital. It consists of total evaluation of 82 cases of ovarian lesions which were surgically excised for clinically or radiologically suspected of ovarian neoplasm.Results: A total of 82 cases of ovarian specimen were included out of which 18 cases were of ovarian teratoma. In these 17 cases were benign teratomas, 1 case of immature teratoma. All the cases of mature teratoma were predominantly of cystic type with focal solid areas. Right sided ovary was involved in44.5% cases while left sided in 55.5% cases. The tumor size ranges from 2.5 cm to 20.8 cms. The age range in this study was from 20 to 60 year. The common age observed for ovarian teratoma was in group of 31-40 years, having 6 cases. The clinically most of cases were asymptomatic or presented with unexplained abdominal pain or palpable mass. USG finding in most of cases were diffuse or partial echogenic mass lesion with cystic nature and echogenic bands.Conclusions: In our study showed mature cystic teratoma is the most common type of ovarian teratomas. The immature and monodermal types are rare. The histopathological examination plays important role in final diagnosis   and patient management.


2021 ◽  
pp. 65-66
Author(s):  
Sweta Krishnan ◽  
Aishwerya Singh

Introduction: Mature cystic teratomas or dermoid cysts are benign “tumors” which arise from more than one germ cell layer. These occur most commonly in the ovaries. Urinary bladder is an extremely rare site. Only few cases of urinary bladder dermoid cysts have been documented in the literature. Case report: We present a rare case in which a 29-year-old female patient presented with hematuria, passage of hairs in urine and painful micturition. Urinary bladder dermoid cyst along with vesicular calculus was diagnosed on imaging and cystoscopy and conrmed after surgery by histopathological examination. Conclusion: Bladder dermoids mimic bladder calculus and neoplastic mass lesion both clinically and radiologically. Correct diagnosis can be achieved by multimodality imaging, cystoscopy and conrmed on histopathology.


2020 ◽  
Author(s):  
Sunita Nayak ◽  
Suren Prasad Dash

Abstract Mature cystic teratoma or dermoid cyst is the most common germ cell tumour of the ovary. The incidence ranges from 5 to 25% of all ovarian neoplasms out of which 13.7% are bilateral. Teratomas usually occur in the ovaries but they may be seen in other sites known as extragonadal teratomas the incidence of which is only 0.4%. Teratomas are usually benign but they may turn out to be highly malignant. Torsion is known to be the most frequent complication of ovarian teratomas followed by autoamputation. Teratomas are classified as “Mature” and “Immature” by WHO. Teratomas show good prognosis specially the mature ones. Surgery and follow up remains the standard approach. We report a case of mature cystic teratoma in the right ovary of a 28 years old nulliparous woman.


Author(s):  
Ruby Bhatia ◽  
Manjit Kaur Mohi ◽  
Anju Gupta ◽  
Sonia Goyal

Dermoid cyst (cystic teratoma) showing well differentiated derivatives of all three germs cell layers is a benign germ cell tumour. Ovaries remain the commonest site. Paravaginal dermoid cyst is a rare occurrence. Pre-operative diagnosis is usually difficult in majority of cases. They constitute less than 4% of all extragonadal teratomas. A 28-year old, P2L2 female presented with paravaginal cyst, 10×10cms, non-tender, soft swelling, cystic in consistency occupying posterior and left part of rectovaginal septum. Trans vaginal excision of cyst under regional anaesthesia done. Cyst was ruptured while excision showing putty material with tuft of hairs. A retrospective diagnosis of mature teratoma/paravaginal dermoid cyst was made on histopathological examination. Paravaginal dermoid cyst, a benign cystic teratoma is a very rare occurrence. Transvaginal excision of dermoid cyst under anaesthesia remains treatment of choice. Retrospective diagnosis on histopathological examination remains confirmatory as it may be missed on sonography if teeth are not present in dermoid cyst. 


2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Manju Rachel Mathew ◽  
Anita Ramdas ◽  
Susy S. Kurian ◽  
Linu Kuruvilla ◽  
Neelima Singh

Mature cystic teratoma (MCT) is the commonest germ cell neoplasm of the ovary but malignant transformation is a rare occurrence (1-2%). Of these malignancies documented in literature the commonest are squamous cell carcinoma and adenocarcinoma. Urothelial carcinomas arising in an MCT are a rare occurrence and only 7 cases have been reported in literature. We report a case of an MCT which was complicated by the presence of urothelial carcinoma confirmed on histopathological examination.


2017 ◽  
Vol 21 (2) ◽  
pp. 123-126
Author(s):  
Damla Tuncer Budanur ◽  
Merve Şirin ◽  
Elif Sepet ◽  
Meral Ünür ◽  
Mine Güllüoğlu ◽  
...  

Summary Background: Crohn’s disease (CD) and ulcerative colitis (UC) are the two major relapsing conditions of inflammatory bowel diseases. Case Report: A case of Crohn’s disease with orofacial manifestations in a 10 year old girl is described. She had suffered from fever, dysphagia, arthralgia, painful recurrent ulcers of the oral mucosa and swelling of the lower lip lasting over 6 weeks. Clinical examination and the punch biopsy from the buccal mucosa revealed major recurrent aphthous ulcerations. A partial regression and significant relief of lesions were achieved two weeks after the treatment, but the patient suffered from abdominal pain, irregular bowel movements, arthritis, multiple hyperplastic and swollen mucosal folds, after 3 months. The patient was referred to a pediatric gastroenterologist. Esophagogastroduodenoscopy showed pyloric ulcer formation. Abdominal ultrasound showed increased thickening of the ileal wall with multiple enlarged lympadenopathies in the periileal region. Colonoscopy images showed deep ulcers with surrounding erythema. The histopathological examination of biopsies from the terminal ileum and the colon showed basal plasmacytosis, minimal crypt distortions and aphthous ulcerations. The diagnosis of Orofacial Crohn’s disease was made. Exclusive enteral nutrition for 8 weeks, followed by azathiopurine treatment was started with an excellent clinical response on abdominal and oral symptoms. Conclusion: Diagnosis of the disease by dentists and other clinicians through the evaluation of oral clinical findings is very rare. Mucocutaneous and granulomatous lesions of the oral cavity should alert the clinician to pursue an underlying systemic cause. Early communication with a gastroenterologist can help early diagnosis of Crohn’s disease for better patient management and prognosis.


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