Laparoscopic management of mature cystic teratoma of the ovary with multiple intracystic floating spherules.
BACKGROUND
A feature of multiple spherical structures floating free in a cystic mass is one of the very rare patterns of mature cystic teratoma.


METHODS
A 32-year-old unmarried nulligravida was referred. Image diagnosis showed a large cystic tumor with unusual intracystic multiple floating spherules. Serum tumor marker test showed elevated squamous cell carcinoma antigen. Laparoscopic-assisted left salpingo-oophorectomy was performed. The histopathological diagnosis was mature cystic teratoma of the ovary with marked desquamative keratin formations.


CONCLUSIONS
After obtaining pathognomonic findings on diagnostic imaging, laparoscopic management of a rare form of mature cystic teratoma of the ovary with numerous intracystic floating spherules was successfully performed.
Takeda
Akihiro
A
Imoto
Sanae
S
Mori
Masahiko
M
Sakai
Kotaro
K
Nakamura
Hiromi
H
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000473:pathology* / Q000601:surgery; D010052:Ovariectomy / Q000379:methods; D013724:Teratoma / Q000473:pathology* / Q000601:surgery