Bilateral ovarian cysts of mature cystic teratoma and Endometrioma: Its surgical challenges and review of literature

IF 0.6 Q4 OBSTETRICS & GYNECOLOGY Journal of endometriosis and pelvic pain disorders Pub Date : 2021-09-01 DOI:10.1177/22840265211032115
V. Bindra, Mamatha G. S. Reddy, G. Mohanty, N. Agarwal, Aditya D. Kulkarni
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Abstract

Teratomas are most frequent germ cell tumors of ovary with an incidence of 15%–20% of all ovarian neoplasm while endometriomas are present in 25.5%–45% of women with pelvic endometriosis. In spite of their increased individual incidence, association of cystic teratomas and ovarian endometriomas is extremely rare. Our case is that of a 33-year-old nulligravida who presented with heavy menstrual flow and pain during periods for last few months, ultrasonography revealed 74 × 57 mm mass in right adnexa-likely ovarian dermoid, enlarged left ovary with two small cysts of size 33 × 29 mm and 25 × 20 mm likely endometrioma, managed by laparoscopy, found to have left ovarian endometrioma of 6 × 6 cm and right ovarian dermoid cyst of 10 × 8 cm size, histopathology confirmed the same. This association of teratoma in one ovary and endometrioma in other ovary of same patient poses a surgical challenge, when it affects young and nulliparous women. Further follow up is mandatory for this simultaneous finding of ovarian endometriosis with coincidental dermoid cyst to assess ovarian reserve, recurrence of either of the cysts, and it also presents a challenge to clinicians to predict the post-operative course of such cases.
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成熟囊性畸胎瘤和子宫内膜瘤的双侧卵巢囊肿:手术挑战和文献综述
畸胎瘤是最常见的卵巢生殖细胞肿瘤,发生率为所有卵巢肿瘤的15%-20%,而子宫内膜异位症患者中子宫内膜异位症的发生率为25.5%-45%。尽管个体发病率增加,但囊肿性畸胎瘤和卵巢子宫内膜异位瘤的关联是极其罕见的。我们的案例中是一位33岁的nulligravida面对沉重的月经时期和痛苦在最后的几个月中,超声显示74×57毫米adnexa-likely卵巢皮样的质量,扩大与两个小左卵巢囊肿的大小33×29毫米和25×20毫米可能子宫腺肌瘤,由腹腔镜检查,发现左卵巢子宫内膜瘤6×6厘米和右卵巢皮样囊肿10×8厘米大小、组织病理学确诊是一样的。在同一患者的一个卵巢畸胎瘤和另一个卵巢子宫内膜瘤的关联提出了手术的挑战,当它影响到年轻和未生育的妇女。对于同时发现卵巢子宫内膜异位症并并发皮样囊肿的患者,需要进一步随访,以评估卵巢储备、囊肿复发情况,同时对临床医生预测此类病例的术后病程也提出了挑战。
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CiteScore
1.20
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0.00%
发文量
20
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