title: Bilateral ovarian teratoma complicated with carcinosarcoma in a 68 year old woman: a case report.
abstract: BACKGROUND
  Composing of less than 1% of all ovarian cancers, immature teratoma is a malignancy that mainly affects the young, and they present with advanced disease. The treatment of immature teratoma is conservative primary surgery usually involving unilateral salpingo-oophorectomy followed by combination chemotherapy.
  
  
  METHODS
  Here we present a case of a 68 year old woman with bilateral ovarian teratoma complicated with carcinosarcoma. The patient was diagnosed as FIGO stage IIIC. She underwent neoadjuvant chemotherapy and interval cytoreduction followed by optimal cytoreduction. The post operative management strategies and gynaecological follow up studies revealed no evidence of regional or distant metastasis.
  
  
  CONCLUSIONS
  Thus the choice of initial treatment should be decided in a selective fashion depending on various prognostic factors in order to increase the survival of the patients.
authors.affiliation: Medical Microbiology Laboratory, Department of Microbiology, School of Life Sciences, Bharathidasan University, Tiruchirappalli, Tamilnadu, India. natarajaseenivasan@rediffmail.com
authors.forename: S
authors.initials: S
authors.lastname: Shanmughapriya
authors.forename: G
authors.initials: G
authors.lastname: SenthilKumar
authors.forename: K
authors.initials: K
authors.lastname: Balakrishnan
authors.forename: N
authors.initials: N
authors.lastname: Vasanthi
authors.forename: K
authors.initials: K
authors.lastname: Vinodhini
authors.forename: K
authors.initials: K
authors.lastname: Natarajaseenivasan
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D016190:Carboplatin / Q000008:administration & dosage; D002296:Carcinosarcoma / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D020360:Neoadjuvant Therapy; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D017239:Paclitaxel / Q000008:administration & dosage; D013724:Teratoma / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery
chemical_list: D016190:Carboplatin; D017239:Paclitaxel