Korean J Pathol.
1999 Jul;33(7):525-528.
Prostatic Tissue in Ovarian Mature Cystic Teratoma: A case report
- Affiliations
-
- 1Department of Diagnostic Pathology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul 138-736, Korea.
Abstract
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Ovarian mature cystic teratoma containing benign prostatic tissue is rare and
only 11 cases have been reported in the literature to date. We report a case of mature
cystic teratoma of the ovary containing prostatic tissue. A 23-year-old female patient
came to our hospital complaining of irregular menstruation for 3 months. Her menarche
had occurred when she was 13 years old. The patient showed no evidence of virilization
nor of endocrinopathy. A goose-egg-sized mass was palpable in the left lower abdomen
on physical examination. Ultrasonography revealed a cystic ovarian mass with internal
echogenecity. Microscopic finding was consistent with that of usual mature cystic
teratoma except for a 1.5 cm focus of prostatic and bladder tissues. Prostatic tissue
demonstrated strong immunoreactivity for prostatic specific antigen (PSA), prostatic
alkaline phosphatase (PAP) and cytokeratin 7. Basal cells of the prostate glands were
positive for high molecular weight cytokeratin (34betaE12). Although ovarian mature cystic
teratoma containing prostatic tissue has been reported as a rare occurrence, a careful
examination with immunohistochemical staining may increase the detection of prostatic
tissue in mature cystic teratoma of the ovary.