J Menopausal Med.  2017 Apr;23(1):74-76. 10.6118/jmm.2017.23.1.74.

A Rare Case of an Autoamputated Ovary with Mature Cystic Teratoma

• Kim HG
• Song YJ
• Na YJ
• Yang J
• Choi OH

• KMID: 2378228
• DOI: http://doi.org/10.6118/jmm.2017.23.1.74

Abstract

Autoamputated ovary with mature cystic teratoma (MCT) is a rarely reported gynecologic entity with an unknown prevalence. A 34-year-old woman referred to our clinic for presumed left ovarian tumor. Pelvic examination, ultrasonography and computed tomography scan revealed a 5-cm, cystic ovarian mass with calcification and fat component, and tumor markers were as follows, cancer antigen (CA) 125; 10.4 U/mL, CA19-9; 2 U/mL. Laparoscopy was performed. The mass was identified in the left adnexal region without any ligamentous or direct connection with the pelvic organs. The right ovary was normal. However, the left ovary and the tube could not be identified in its proper anatomical location. The mass was successfully removed with sharp and blunt dissection. A review of histopathologic study revealed a MCT. The patient became pregnant within seven months and gave birth to a healthy baby by cesarean section. We present a rare case of an autoamputated ovary with MCT.

Keyword

Amputation; Dermoid cyst; Laparoscopy; Ovarian neoplasms; Ovary; Teratoma

MeSH Terms

Adult
Amputation
Biomarkers, Tumor
Cesarean Section
Dermoid Cyst
Female
Gynecological Examination
Humans
Laparoscopy
Ligaments
Ovarian Neoplasms
Ovary*
Parturition
Pregnancy
Prevalence
Teratoma*
Ultrasonography
Biomarkers, Tumor

Figure

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  Fig. 1 Computed tomography was demonstrated a cystic mass with calcification measuring 5.7 × 3.1 cm at the left ovary.

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  Fig. 2 Gross finding at laparoscopy revealed yellowish white mass was noted in the left adnexal region.

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  Fig. 3 Microscopic finding of tissue revealed a typical mature cystic teratoma with adipose tissue and hair root sheaths. The cyst wall consisted of collagen fibers with marked infiltration of lymphocytes and histocytes with calcification, which indicated ischemic and inflammatory changes (hematoxylin and eosin [H & E] × 100).

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