title: Mature ovarian teratoma with carcinoid tumor in a 28-year-old patient.
abstract: Introduction. Coexistence of carcinoid tumor inside a mature cystic teratoma is an extremely rare phenomenon, especially in young women. We present the case of a 28-year-old woman diagnosed with a right ovarian carcinoid and treated uneventfully with conservative surgical approach. Case Report. A 28-year-old woman, gravid 0, parity 0, presented to our department for her annual gynecological examination and Pap smear test. During her examination, a mobile cystic mass was detected in the right lower abdomen. Ultrasound indicated a right ovarian mass 10.5 × 6.3 cm, confirmed by CT scan. Further investigation revealed AFP levels (1539 ng/mL). The ovarian mass was excised by laparoscopy, leaving intact the remaining right ovary. Frozen sections showed a mature cystic teratoma. However, paraffin sections revealed the presence of a small carcinoid within the teratoma's gastric-type mucosa. The patient was set to a close followup. Nine months postoperatively, ultrasound pelvis imaging and CT scan of the abdomen as well as serum tumor markers have shown no evidence of recurrence disease. Conclusion. Despite the weak evidence, fertility spare surgical approach for women wanting to preserve their genital tract might be a reasonable option.
authors: 3rd Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Konstantinoupoleos 49, 54642, Greece.
authors: Stamatios
authors: S
authors: Petousis
authors: Ioannis
authors: I
authors: Kalogiannidis
authors: Chrysoula
authors: C
authors: Margioula-Siarkou
authors: Alexandros
authors: A
authors: Traianos
authors: Dimosthenis
authors: D
authors: Miliaras
authors: Apostolos
authors: A
authors: Kamparoudis
authors: Apostolos
authors: A
authors: Mamopoulos
authors: David
authors: D
authors: Rousso
references: Am J Surg Pathol. 2007 Dec;31(12):1913-8
references: 18043048
references: J Obstet Gynaecol Res. 2003 Feb;29(1):28-32
references: 12696624
references: Br J Obstet Gynaecol. 1979 May;86(5):399-402
references: 465388
references: Urology. 2005 Sep;66(3):658
references: 16140109
references: J Clin Pathol. 1996 Jun;49(6):519-21
references: 8763274
references: Cancer. 1977 Mar;39(3):1237-42
references: 912656
references: Eur J Gynaecol Oncol. 2006;27(6):636-7
references: 17290604
references: Case Rep Emerg Med. 2012;2012:845198
references: 23326728
references: Case Rep Obstet Gynecol. 2012;2012:961087
references: 23326740
references: Eur J Obstet Gynecol Reprod Biol. 1988 Dec;29(4):329-38
references: 3229546
references: Int J Urol. 2004 Oct;11(10):912-5
references: 15479301
references: Eur J Obstet Gynecol Reprod Biol. 1994 Aug;56(2):139-42
references: 7805967