title: Laparoscopic management of mature cystic teratoma of the ovary with multiple intracystic floating spherules.
abstract: 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.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Takeda
authors.forename: Sanae
authors.initials: S
authors.lastname: Imoto
authors.forename: Masahiko
authors.initials: M
authors.lastname: Mori
authors.forename: Kotaro
authors.initials: K
authors.lastname: Sakai
authors.forename: Hiromi
authors.initials: H
authors.lastname: Nakamura
mesh_terms: 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