Rare case of perplexing ovarian endometriosis

Autor: Abraham C. van Wyk, Johannes van der Merwe, Igno Siebert
Rok vydání: 2010
Předmět:
Zdroj: Fertility and Sterility. 94:1910.e17-1910.e19
ISSN: 0015-0282
DOI: 10.1016/j.fertnstert.2010.03.024
Popis: Objective To document a rare case of coexisting endometriosis and mature cystic teratoma in the same ovary. Design Case report. Setting Gynecology unit in a tertiary training and teaching hospital in Cape Town, South Africa. Patient(s) A 30-year-old healthy nulligravida woman with a large ovarian tumor. Intervention(s) After a basic examination, a diagnostic and management laparotomy was performed. A unilateral oophorectomy and staging laparotomy were performed. Main Outcome Measure(s) Final diagnosis of a complex ovarian tumor. Result(s) Histologic analysis confirmed endometriosis of the pelvis and concomitant compound pathology in the right ovary, which included endometriosis, mature teratoma, and mucinous cystadenoma. Conclusion(s) Co-existence of varied pathology in a single organ presents a challenge to the pathologist and the clinician. Accurate clinical (i.e., surgical) assessment and decisive histologic verification forms a critical part in this process. This case of coexisting endometriosis and teratoma in a single ovary is, to our knowledge, only the third case reported in literature.
Databáze: OpenAIRE