title: A clinico-pathological evaluation of 194 patients with ovarian teratoma: 7-year experience in a single center.
abstract: OBJECTIVE
  To evaluate patients diagnosed with teratoma over a period of seven years with regard to their general characteristics and treatment methods.
  
  
  METHODS
  A total of 194 patients histologically diagnosed with ovarian teratoma (mature or immature) in the years 2005-2012 at the Ege University Gynecology and Obstetrics Department were evaluated.
  
  
  RESULTS
  Average patient age was 34.3 +/- 2.16 years. Of these, 169 (86.3%) were premenopausal and 27 (13.7%) postmenopausal; average cyst diameter, measured during the surgery was 6.9 +/- 0.63 cm. While the teratoma had been an asymptomatic finding in 148 (75.5%) patients, 48 (24.5%) were symptomatic. In 107 patients (54.5%) a laparotomy and in 89 (45.5%) a laparoscopy were performed. The presence of torsion was observed during surgery in 9 (4.5%) patients. The 49 (55%) patients who underwent laparoscopic cystectomy experienced a rupture during the intervention, with no cases of clinical chemical peritonitis following the surgery
  
  
  CONCLUSIONS
  Caution must be exercised with regard to possible cyst rupture in elderly patients and those with large dermoids; an laparoscopic approach may be reserved for younger patients. In case a rupture occurs during the operation, abundant peritoneal lavage is indicated; in order to limit risks during the controlled excision of the cyst an Endobag should be used if possible.
authors.affiliation: Ege University Medical School, Department of Obstetrics and Gynecology, Izmir, Turkey.
authors.forename: Behiye Seda
authors.initials: BS
authors.lastname: Hursitoglu
authors.forename: Gulsah Selvi
authors.initials: GS
authors.lastname: Demirtas
authors.forename: Omer
authors.initials: O
authors.lastname: Demirtas
authors.forename: Levent
authors.initials: L
authors.lastname: Akman
authors.forename: Huseyin
authors.initials: H
authors.lastname: Yilmaz
mesh_terms: D000328:Adult; D000367:Age Factors; D003884:Dermoid Cyst / Q000145:classification / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000145:classification / Q000473:pathology* / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods*; D012189:Retrospective Studies; D013724:Teratoma / Q000145:classification / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome