Case Report - Gynecology and Reproductive Endocrinology (2018) Volume 2, Issue 1
Primary ovarian carcinoid tumor arising within a mature cystic teratoma in a 32-years-old patient.
Mature cystic teratomas (MCT) or dermoid cyst represent 10-20% of all ovarian neoplasm.
Primary ovarian carcinoids are rare, accounting for 0,3% of all carcinoid tumors. We report a
case of a 32-years-old woman diagnosed with primary carcinoid tumor of the left ovary arising
Vaginal ultrasonography showed left cystic adnexal image of 60 Ã— 40 mm, with fine echogenic
dotting and a more refringent area in caudal pole. Doppler negative. Negative tumor markers.
Pelvic MRI: Pelvic tumor of approximately 50 Ã— 61 mm of suprauterine location with a thin
hypointense capsule with well-defined borders and fat-like signal intensity, which impresses of
mature cystic teratoma as the first diagnostic possibility.Laparoscopy and left anexectomy was
performed. The histopathological study reports, mature cystic teratoma of 5 cm with a single
focus (0.6 cm) of carcinoid tumor.
It is difficult to make a diagnosis of primary ovarian carcinoid tumor arising within a mature
cystic teratoma of the ovary preoperatively. A thorough histopathological study of the tumor
is very important and the surgical treatment adapted according to the characteristics of the
patient. Author(s): Manuel Dominguez Gonzalez, Sofia Vazquez Navarrete, Raquel Jimenez Pena, Maria Carmen Escamez Leon
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