scholarly journals Immature teratoma with a rare finding of choroid plexus

Author(s):  
Mehak Kashyap ◽  
Neelam Gupta ◽  
Vikas Dubey ◽  
Nechal Kaur

Mature cystic teratoma of the ovary is the most common ovarian tumour in young women. Immature teratoma is a very rare tumour, representing only 1% of all ovarian cancers. Paediatric ovarian tumours are rare, with a reported incidence rate of 2.2/100,000 in girls aged 0 to 15 years. In the case report presented here, was 12-year-old suspected to have serous cystadenoma of ovary based on CT scan, which was ultimately diagnosed with immature teratoma grade 3 after histopathological examination was done.

2018 ◽  
Vol 12 (2) ◽  
pp. 16-20
Author(s):  
Gehanath Baral ◽  
Rijuta Joshi

Aims: The purpose of this study is to review the reintroduced minimally invasive surgical practice in the hospital after a couple of decades long gap. Methods: It is a two years (2015 to 2017) retrospective cross-sectional study carried out in Paropakar Maternity and Women’s Hospital. The patients with pre-operative diagnosis of benign condition underwent laparoscopic surgery; hysteroscopy was diagnostic and operative both. Data were collected by demographics, indication of surgery, nature of surgery, complications, hospital stay and histo-pathological reports. Data were entered in the SPSS and MS-excel. Results were presented as tables and graphs.Results: Sixty five and 39 women underwent laparoscopic surgery and hysteroscopy respectively. None of them had major complications and hospital stay was1-3 days in majority.  The most common age group was 31-35 years. Preoperative diagnoses of them were adnexal tumor in 47 women, fibroid uterus in six, AUB in two, ectopic pregnancies in four, PCOD in two and one women each with primary sub-fertility and POP Q II with elongated cervix. Laparoscopic cystectomy was performed on 25 women for the adnexal masses while 13 women underwent laparoscopic oophorectomy for the ovarian masses. Total laparoscopic hysterectomy was the second commonest surgery (n=12). On histopathological examination of the ovarian tissues, mature cystic teratoma was the commonest finding (n=18) followed by the endometriotic cysts (n=9), benign serous cystadenoma (n=7) and mucinous cystadenoma (n=4).  Conclusions: Laparoscopy and hysteroscopy procedures have become the alternative in surgical modality at this hospital.


2012 ◽  
Vol 10 (1) ◽  
pp. 26-31
Author(s):  
R Khatri

Introduction: Ovarian cancer is the second most common genital tract malignancy accounting for 25% gynaecological malignancy. This study was conducted to determine the incidence, epidemiological factors and clinical presentation of different types of ovarian tumours their correlation with histopathology. Methods: This is a descriptive study conducted in Birendra Military Hospital over a period of 2 years. The case records of all the patients with ovarian tumur was analyzed. Results: Of the total of 135 adnexal masses cases 100 (74.07%) were found to be histologically proven ovarian tumour out of which 35 were non neoplastic conditions. Benign tumours comprised of 68 (68%) and 32 (32%) were malignant and borderline.Mature cystic teratoma 28 (75%) was the commonest benign tumour, whereas serous cystadenocarcinoma 13 (64.3%) were commonest malignancy. Age varying from 2.5 yrs. To 70 yrs. Smallest tumour size was 2.5 cm. largest was 40 cm. Commonest symptom was abdominal discomfort and most common sign was abdominal lump. Malignancy usually presented with ascites especially epithelial ovarian tumours. Germ cell tumour was observed in younger age group in earlier stage. Conclusion: The commonest ovarian tumor was epithelial followed by germcell. Mature cystic teratoma was the most common benign tumour and malignant was serous cyst adenocarcinoma. Epithelial ovarian tumour prevalent in perimenopausal and postmenopausal age group whereas germ cell in earlier age. DOI: http://dx.doi.org/10.3126/mjsbh.v10i1.6446 Medical Journal of Shree Birendra Hospital Jan-June 2011 10(1) 26-31


2019 ◽  
Vol 3 (1) ◽  
pp. 44-48
Author(s):  
Chin Bahadur Pun ◽  
Sadina Shrestha ◽  
Ranjan Raj Bhatta ◽  
Greta Pandey ◽  
Suraj Uprety ◽  
...  

Introduction: Ovarian cancer is the seventh most commonly diagnosed cancer among women in the world. This study was conducted with the aim to find out different histological types of ovarian tumours reported at B.P. Koirala Memorial Cancer Hospital (BPKMCH), Chitwan, Nepal. Methods: This was a retrospective study carried out at the Department of Pathology of BPKMCH from January 1, 2018 to December 31, 2018. This study included the patients who were operated at BPKMCH or referred cases from elsewhere, but the specimen was processed and reported at BPKMCH. All the data were retrieved and analyzed from the records of Pathology Department. Results: Altogether 87 cases of ovarian tumours were reported during the study period. Out of which, 31 cases were benign ovarian tumours whereas 56 cases were malignant ovarian tumours. Both benign and malignant ovarian tumours were most common in age group 41 to 50 years of age. Among benign ovarian tumours, 12 cases were serous cystadenoma, 7 cases mucinous cystadenoma, 6 cases mature cystic teratoma, 2 cases serous cyst adenofibroma, 2 cases benign Brenner tumour and 2 endometroid cystadenoma. Among malignant ovarian tumours, 33 cases were serous cystadenocarcinoma, 11 cases mucinous cystadenocarcinoma, 2 cases immature teratoma, 3 cases were malignant sex cord stromal tumours (granulosa cell tumour), 2 cases dysgerminoma, 1 case yolk sac tumour, 1 case endometroid carcinoma and 3 cases were metastatic adenocarcinoma. Conclusion: Surface epithelial tumours were most common ovarian tumours in this study. Serous cystadenomas were most common benign ovarian tumours whereas serous cystadenocarcinomas were the most common malignant ovarian tumours.  


2019 ◽  
Vol 6 (5) ◽  
pp. 1563
Author(s):  
Swarnalatha P. ◽  
Rajasekhar Reddy S. ◽  
Chaitanya B.

Background: Ovarian tumours account for one of the top five gynaecological malignancies in Indian women. The prime objective of the current study is to document the frequency, age distribution and diverse histomorphological spectrum of ovarian tumours in a peripheral institute in South India catering rural population.Methods: The study comprises of retrospective clinico pathological evaluation of 77 cases of ovarian neoplasms in Indian Red Cross Cancer Hospital, Nellore, India during a 4 year period ( January 2015 to December 2018 ). Non neoplastic ovarian lesions were excluded. Gross and microscopic histopathological examination was done for ovarian neoplasms. These were classified according to the WHO classification of ovarian tumours (2003).Results: Out of 77 cases studied, majority were malignant  tumours (72.72%), followed by benign (23.38%) and borderline tumours (3.9%). Age ranged from 11-80 years. Epithelial tumours were the most common (75.32%), followed by sex cord stromal tumours (12.98%), germ cell tumours (9.09%) and metastatic ovarian tumours (1.3%). Serous cystadenoma was the commonest benign tumour and serous papillary carcinoma was the commonest malignant ovarian tumour.Conclusions: It is concluded from this study that on morphological grounds, tumours originating from surface epithelium are the most common. Higher incidence of malignant tumours supports the metaphor often used for ovarian malignancy “ the silent killer ”.


2015 ◽  
Vol 33 (28_suppl) ◽  
pp. 52-52
Author(s):  
Veda Padma Priya Selvakumar ◽  
Shubha Garg ◽  
Rajeev Kumar

52 Background: Breast cancer in young women tends to be more advanced at presentation, more aggressive in nature with poorer survival. In this background we sought to study the clinicopathological profile of patients less than 40 years diagnosed with breast cancer at our institute. Methods: Out of the 1,330 patients who underwent surgery from December 2010 to December 2014 in the breast unit at our institute, 211 women were younger than 40. We retrospectively reviewed the clinic-pathological profile of these patients. SPSS 22 was used for statistical analysis and Kaplan Meier graphs plotted. Results: Mean age of patients was 35 years. The stage distribution was Stage 0: 2, Stage I: 9, Stage II: 81, Stage III: 95 and Stage 4: 2. 123 women underwent MRM and 85 breast conservation. On histopathological examination 202 were IDC, 1 ILC, 3 Mucinous Ca and 5 DCIS. 95(45 %) were Grade 3, 54 Grade 2 and 9 Grade 1. 55 patients were TNBC and 57 Her-2-neu positive. 57 underwent NACT while the rest underwent adjuvant chemotherapy, 170 received adjuvant radiation therapy and 122 adjuvant hormonal therapy. Overall survival is 98.9 % and DFS is 91.5 % at mean follow up of 17 months. Conclusions: In contrast to worldwide literature, around 15 % of women with breast cancer presenting to our institute were less than 40 years of age. They presented late with a higher stage, higher grade, and aggressive biology.


2020 ◽  
Vol 13 (12) ◽  
pp. e237970
Author(s):  
Elizabeth Ande ◽  
Silky Jain ◽  
Schahrazed Rouabhi ◽  
Wai Yoong

This case report describes a right-sided borderline ovarian tumour diagnosed unexpectedly following suspected torsion in the third trimester of pregnancy. The patient had had a right mucinous cystadenoma and left serous cystadenoma in her previous pregnancy and underwent bilateral ovarian cystectomy at the time of her first elective caesarean section. The management of borderline ovarian tumours is generally difficult in younger women of reproductive age and is made more complex by pregnancy. The authors share the challenges of managing this condition in pregnancy together with a review of the literature.


2014 ◽  
Vol 7 ◽  
pp. CCRep.S17455 ◽  
Author(s):  
Masakazu Nishida ◽  
Yasushi Kawano ◽  
Akitoshi Yuge ◽  
Kaei Nasu ◽  
Harunobu Matsumoto ◽  
...  

While mature cystic teratoma of the ovary is the most common ovarian tumor in young women, immature teratoma is a very rare tumor, representing only 1% of all ovarian cancers. In the three cases presented here, young women who were suspected to have mature cystic teratoma, based on CT scan and MRI, were ultimately diagnosed with immature teratoma Ic (b) G1 after laparoscopic operation. They underwent salpingo-oophorectomy of the affected side only and have shown no sign of recurrence during follow-up. We sometimes encounter patients with immature teratoma who have no findings pointing to malignancy on CT or MRI. Generally, if the components of immature nerve cells that represent immature teratoma are very few, it is difficult to diagnose the entity as immature teratoma with imaging evaluations such as CT or MRI. In many hospitals, laparoscopic surgery is selected for patients with ovarian mature teratoma. Therefore, it is essential to attempt as much as possible not to disseminate the fluid content of the tumor into the intra-abdominal space during laparoscopic operation, because in rare cases the tumor turns out not to be benign mature teratoma.


Author(s):  
Kanika Chandra ◽  
Neetu Arora

Background: Ovarian tumours are a heterogeneous neoplasm with a varied clinical, morphological and histological feature. Increasing mortality rate due to ovarian cancers has been reported in recent years. Ovarian tumours in post-menopausal females have high risk of malignancy and it has a very poor outcome. The aim and objective of this study was to determine clinical and histopathological spectrum and the frequency and age distribution of various ovarian tumors.Methods: It is a retrospective observational study of patients with ovarian tumors in the department of obstetrics and gynecology, SGRRI of Medical Health & Sciences and Hospital from January 2016 to December 2017 in a total number of 86 patients. All specimens were sent to pathology department and categorised according to WHO  hispathological classification.Results: Out of 86 cases examined, 64 cases were benign (74.4%), 3 cases were borderline (3.4%) and 19 cases were malignant (22.2%). Majority of the ovarian tumors (73.4%) were seen in the age group of 20 to 50 years. Most commonly encountered benign ovarian tumour was serous cystadenoma (58.1%). Surface epithelial tumors were the commonest tumors (64%) followed by germ cell tumors (29%).Conclusions: A variety of benign and malignant tumours of ovary were reported in this study. Early diagnosis and appropriate treatment of ovarian neoplasms favour the good prognosis. Most common benign tumour encountered in this study was serous cystadenoma.


2017 ◽  
Vol 6 (2) ◽  
pp. 76-78
Author(s):  
Rooh E Zakaria ◽  
Farhana Dewan ◽  
Md Abdullah Yusuf ◽  
Mamunur Rahman ◽  
Mojammel Hauque

Background: Ovarian tumour causes great morbidity and mortality.Objective: The purpose of the present study was to analyze the different presentation of ovarian tumours to see the frequency and clinic-demographic characteristics of ovarian tumour.Methodology: This cross sectional study was conducted in the Department of Gynaecology & Obstetrics, Shaheed Suhrawardy Medical College, Dhaka during the period from January to June 2013 for a period of six months. Patient admitted in Department of Obstetrics Gynaecology ward in Shaheed Suhrawardy Medical College Hospital with provisional diagnosis of ovarian tumour were selected as study population. Proper permission was taken from the ethical committee of Shaheed Suhrawardy Medical College Hospital for this study. All the patients were informed about the various aspects of the study. Their verbal consents were taken. Women of all ages with ovarian tumour were included in this study. Women with all other tumour except ovarian tumour were excluded from this study. A thorough history variably collected, clinical examination and investigations was carried out. The result of benign and malignant ovarian neoplasms in regard to age parity, physical sign, vaginal examination, laparotomy findings, together with their macroscopic findings are tabulated separately. Histopathological examination was done by senior pathologists of ShSMCH.Result: A total 50 cases of ovarian tumour had been studied of which 26 (52%) were benign and 24(49%) were malignant ovarian tumours which were confirmed by histopathological examination (P>0.05). 28% and 12% patient with benign ovarian tumour were in age group of 18-34 years and 35-45 years and 14% patient with malignant ovarian tumour in age group >45 years (p>0.05). 32% patient with benign ovarian tumours came from poor socio economics condition and 20% from middle class, 28% patient with malignant ovarian tumour came from poor and 16% from middle class family. Out of 50 cases of ovarian tumour , 39 were married and 11 were unmarried. 51% patients did not use any contraceptives and 31% oral contraceptives (P<0.05). No family history was found in 92% patients. 16% patients with benign tumours were unmarried.Conclusion: In conclusion ovarian tumour are mostly benign of which middle age group are most commonly reported.J Shaheed Suhrawardy Med Coll, 2014; 6(2):76-78


2017 ◽  
Vol 32 (1) ◽  
pp. 5-9
Author(s):  
Shahnaz Begum ◽  
Ferdousi Begum ◽  
Mohammad Nasimul Islam ◽  
Shahida Haque ◽  
Farhana Israt Jahan

Background: Ovarian tumours are common problem in gynaecology and have varied clinical presentation and histopathological appearances. Objectives: This study was undertaken to find out the occurrence and different histopathological types of the tumours originating from the ovaries. Methods: A retrospective study was carried out in the Department of Obstetrics and Gynaecology and Department of Pathology, Sir Salimullah Medical College and Mitford Hospital, Dhaka, between May 2010 and December 2014. Five hundred forty seven (547) cases of ovarian tumours were studied in respect to their histopathological appearance. Results: Out of total gynaecological admission of 5633 patients during the study period, 613 patients admitted with a clinical diagnosis of ovarian tumours: so, the occurrence was 10.9%. Out of 613 patients 547 did histopathology in the department of pathology of our institution. Of the 547 cases, majority were benign (n=379, 69.3%); followed by malignant (n=38, 7%); borderline (n=4, 0.7%); and others (n=126, 23%). Most commonly occurring benign ovarian tumours were serous cystadenoma (115; 30.3%); mature cystic teratoma (76; 20.1%) and mucinous cyst adenoma (66;17.4%). Common malignant tumours were serous cyst adenocarcinoma (21; 55.3%); mucinous cystadenocarcinoma (5; 13.2%) and dysgerminoma(4; 10.5%). Conclusion: Nine out of ten ovarian tumours were nonmalignant. Epithelial tumours were most common among both benign and malignant ovarian tumours. Overall, most common was serous cyst adenoma in benign group and serous cyst adenocarcinoma in malignant group. Bangladesh J Obstet Gynaecol, 2017; Vol. 32(1): 5-9


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