scholarly journals A Case Report of Mature Cystic Teratoma in a post-menopausal Woman, a Rare Entity.

2021 ◽  
Vol 5 (2) ◽  
pp. 891-895
Author(s):  
Ahmed Hassan Abdelmoneim ◽  
Abdelwahed Abougazia ◽  
Amal Said Mahan ◽  
Amal Alobadli ◽  
Adham Darweesh

Ovarian tumours are commonly seen in reproductive age group in women. However, when they occur at extremes of age, the suspicion of malignancy increases. The detection of dermoid cyst at 56 years of age is uncommon, hence proper imaging with CA-125 level monitoring is essential. Awareness of benign tumours or rare possibility of malignant transformation in such age is mandatory for surveillance management or planning the surgical procedure.

Author(s):  
Kavita Mandrelle ◽  
Sahir Bhatti

Mature cystic teratomas are the most common benign germ cell tumours, and commonly seen in the reproductive age group. It rarely occurs in postmenopausal women. We report a case of bilateral dermoid cyst with cholelithiasis and occult gall bladder carcinoma in a postmenopausal woman.    


Author(s):  
Vijay Zutshi ◽  
Shreshtha Gupta ◽  
Charanjeet Ahluwalia ◽  
Monica R.

Endometriosis is an estrogen dependant disorder of reproductive-age women. It is uncommon after menopause, however, peripheral estrogen production may account for endometriosis in post-menopausal women. We reported a case of a 68 year old post-menopausal woman with an adnexal mass suspected malignant ovarian tumor on imaging and normal serum CA 125 levels. Total hysterectomy with bilateral salpingo-oophorectomy was done. The final histopathology revealed the diagnosis of ovarian endometriosis. Rarely, ovarian endometrioma can mimic ovarian malignancy in a post-menopausal woman.


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


2021 ◽  
pp. 73-76
Author(s):  
Sivakumar Vulava ◽  
P.R.D. Ganesh Basina ◽  
Aluri Anjanapriyanka ◽  
Uram. Arunajyothi

Aim and objectives: Ovarian tumours present with a wide variation in clinical presentation and morphological features. Ovaries apart from being a common sites of primary tumors, they are frequent sites for metastasis from organs like stomach, colon and breast. The present work has been undertaken to study the common morphologic and histological types of ovarian tumours in reproductive age group women. Materials and methods: A prospective study s study is conducted for a period of 3 years (August 2010 to September 2013). 100 cases of ovarian tumors in reproductive age women were selected for the present study. Age between 15 and 49 was taken as reproductive age. 100 cases of ovarian tumours in reproductive age women were selected for the present study. Age between 15 and 49 was taken as reproductive age. Out of the 100 cases 99 Results: were primary ovarian tumours, 1 was secondary / metastatic tumour. Out if the 99 primary tumours 94 were benign, 1 was borderline tumour and 4 were malignant tumours. Most tumours occurred in age between 30-40 years. Of the 99 primary tumours 85(90.4%) were surface epithelial tumours, 10 (10.6%) were germ cell tumours and 4 (4.2%) were sex-cord stromal tumours. 1 metastatic tumour, were noted. Benign ovarian tumours are more common than malignant tumours. Conclusion: Surface epithelial tumours are the most common type of all ovarian tumours. Surface epithelial tumours are the most common benign and malignant tumours in reproductive age group. The incidence, clinical presentation of the different types of ovarian tumours is extremely variable. Histopathology is still the gold standard in diagnosing most of ovarian tumours. Studying the macroscopic and microscopic features of different ovarian tumours will enable proper categorization into denite morphologic type.


2020 ◽  
pp. 35-36
Author(s):  
Anshu Baser ◽  
Bhoomika Jain ◽  
Sushil Kumar

Labial fusion is when the labia minora of the vulva fuse together. This most commonly occurs in prepubertal age group(0.6%-5%).(1) This condition rarely occurs in adults and even in adults it is seen in post menopausal women and may result in urinary incontinence.(2) It is extremely rare in women of reproductive age group and only a few cases have been reported so far.(3) We here report a case of a 25 year old female with asymptomatic labial fusion with no history of voiding difficulty, dyspareunia who presented to us at term in labour.


1970 ◽  
Vol 52 (194) ◽  
pp. 837-844 ◽  
Author(s):  
Pramila Pradhan ◽  
Meeta Thapa

Dermoid cysts or mature cystic teratoma are the most common type of ovarian germ cell tumor usually occurring in the reproductive age group. They are commonly unilateral and 10-12 % can be bilateral. They are commonly multicystic and contain sebaceous fluid as well as tissue of three germ cell layers e.g. ectoderm (skin, hair, brain) mesoderm (muscle, fat ,teeth ,bone, and cartilage) and endoderm (mucious and ciliated epithelium).These teratomas usually arise from the gonads but has been found anywhere in the body. Their site, size and clinical presentations are extremely variable causing confusion with medical and surgical diseases, acute emergency due to rupture and torsion , bowel and bladder injuries, and pregnancy etc. The malignant teratoma occurs at 3-4% only among ovarian carcinoma. The malignant transformation in benign cysts is a rare occurrence with 1-2% cases and squamous cell carcinoma being the commonest. This review is undertaken to study the different presentations produced by these tumors. Keywords: bizarre; cyst; dermoid.


2020 ◽  
Vol 11 (3) ◽  
pp. 4424-4427
Author(s):  
Nanda Patil J ◽  
Sujata Kanetkar

The present study was a two-year prospective cross-sectional study done to diagnose and categorize lesions of endometrium on endometrial sampling included a total of 153 cases, of which 111 were curettage samples, and 42 were biopsy samples. Of the 153 cases, the indication for performing endometrial sampling was AUB in 131 cases and infertility in22 cases. Primary infertility constituted 64% of all the facts of infertility.AUB was common in perimenopausal age group, and infertility was commonly seen in 20-30 years age group and characteristic in multiparous Precursor lesions were the most widely recognized diagnosis on histopathology in23.7. In the category of regular physiological pattern, 72.2% of cases were in the reproductive age group, —36.3 % cases presented with inability to conceive and clinical diagnosis of infertility. Tumour like lesions had a majority of cases (55.5%) in the perimenopausal group. Intermenstrual bleeding was the most widely recognized symptom of presentation.All the cases of malignant lesions were in the post-menopausal age group and all cases presented with post-menopausal bleeding. About 80% of cases were correctly diagnosed clinically. Endometrioid endometrial carcinoma was seen in 60% cases, followed by carcinoma extending from cervix in30 % cases and carcinosarcoma in 10% cases.


Author(s):  
Kalpana B. ◽  
Soumya R. Panda

Uterine leiomyomas are the most common pelvic benign tumours affecting women of reproductive age group. Parasitic leiomyoma is a type of leiomyoma which has been completely detached from uterus and is having independent blood supply from nearby structures, it’s attached with. Parasitic leiomyoma is regarded as a sub-type of subserosal fibroid by some authors. While others consider it as a complication of uterine procedures being performed for some type of uterine pathology. Here we are reporting a rare case of primary parasitic leiomyoma with concurrent multiple uterine leiomyomas that were managed by laparoscopic myomectomy. They create clinical dilemma due to their tendency to mimic as other pelvic tumours. So parasitic fibroids must be kept in the differential diagnosis of every case of abdominopelvic mass. Finally, it can be a rare complication of morcellation procedure performed for myoma retrieval and hence caution should exercise during such procedures.


Author(s):  
Poonam Laul ◽  
Urvashi Miglani ◽  
Atima Srivastava ◽  
Neelam Sood ◽  
Sanjeev Miglani

Background: Ovarian cancer is an important cause of morbidity and mortality in the middle aged women. A systematic study of all ovarian tumours encountered in a large institute over a period of years is more likely to produce a significant amount of useful data regarding the clinical manifestations, the incidence of various types of ovarian tumours and the type of treatment offered. In this study we correlate various clinical presentations, ultrasound features, and various tumour marker levels with histopathology of ovarian masses.Methods: The study was conducted in the department of obstetrics and gynaecology in collaboration with department of radiology and pathology and lab medicine, Deen Dayal Upadhyay hospital from April 2015 to December 2016.Results: In the present study, 97 ovarian masses have been operated out of total 708 gynaecological surgeries in the obstetrics and gynaecology department of Deen Dayal Upadhyay hospital over the stipulated period. Prevalence of ovarian masses was 13.7%. Most of the ovarian masses were prevalent in the reproductive age group i.e. 21-40 years of age group in the present study though malignant masses were commonest in post-menopausal age group in the present study. 2 out 11 malignant ovarian masses were in the age group of 10-20 years which were dysgerminoma and immature teratoma respectively. Intra-operative findings like presence of mural nodule, haemorrhage and necrosis, ascites, papillary excrescences and omental caking were also found to have strong correlation with malignancy.Conclusions: A detailed preoperative workup and a simple tool loke RMI can differentiate between benign and malignant masses pre-operatively especially in post-menopausal women.


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