Rare case of perplexing ovarian endometriosis
Date
2010
Authors
Van Der Merwe J.L.
Siebert I.
Van Wyk A.C.
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Journal ISSN
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Abstract
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. Copyright © 2010 American Society for Reproductive Medicine, Published by Elsevier Inc.
Description
Keywords
biological marker, common acute lymphoblastic leukemia antigen, abdominal radiography, adult, article, case report, clinical feature, cystadenoma, disease severity, echography, endometriosis, female, histopathology, human, immunohistochemistry, laparotomy, nullipara, ovariectomy, ovary disease, ovary teratoma, priority journal, South Africa, thorax radiography, Adult, Comorbidity, Endometriosis, Female, Humans, Laparoscopy, Ovarian Diseases, Ovarian Neoplasms, Ovariectomy, Teratoma, Treatment Outcome
Citation
Fertility and Sterility
94
5
94
5