Huge ovarian mature cystic teratoma with gliomatosis peritonei and massive ascites in a postmenopausal woman
Teratoma of the ovary is the most frequently encountered germ cell tumor. It usually occurs in young women. Gliomatosis peritonei (GP) is mature neural glial tissue implanted onto the peritoneal surface. We present a case of a mature teratoma accompanied by GP and massive ascites in postmenopausal w...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Tzu Chi Medical Journal |
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| Online Access: | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2019;volume=31;issue=4;spage=289;epage=291;aulast=Lin |
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| author | Chia-Shuen Lin Ci Huang Pei-Chen Li Yung-Hsiang Hsu Dah-Ching Ding |
| author_facet | Chia-Shuen Lin Ci Huang Pei-Chen Li Yung-Hsiang Hsu Dah-Ching Ding |
| author_sort | Chia-Shuen Lin |
| collection | DOAJ |
| description | Teratoma of the ovary is the most frequently encountered germ cell tumor. It usually occurs in young women. Gliomatosis peritonei (GP) is mature neural glial tissue implanted onto the peritoneal surface. We present a case of a mature teratoma accompanied by GP and massive ascites in postmenopausal women. A 54-year-old, G0P0, woman presented in the gynecology outpatient department with abdominal distension for 6 months. Computed tomography scan of the abdomen and pelvis displayed an ovarian mass about 20 cm × 18 cm with peritoneal seeding, ascites, and enlarged paraaortic lymph nodes. A total hysterectomy and bilateral adnexectomy were performed. The pathology showed the left ovary contained a dermoid cyst. The biopsy of the peritoneal nodule displayed glial tissue confirming the diagnosis of GP. The patient remained in good condition 6 months postoperatively. We suggest GP be considered in patients presenting with teratomas and massive ascites. The radiological diagnosis is challenging due to the rarity of GP. Continued follow-up of patients with teratomas and GP is mandatory due to the potential of malignant transformation. |
| format | Article |
| id | doaj-art-43ee40eadecd492487fad4916ae4a1b2 |
| institution | OA Journals |
| issn | 1016-3190 2223-8956 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Tzu Chi Medical Journal |
| spelling | doaj-art-43ee40eadecd492487fad4916ae4a1b22025-08-20T01:55:41ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562019-01-0131428929110.4103/tcmj.tcmj_176_18Huge ovarian mature cystic teratoma with gliomatosis peritonei and massive ascites in a postmenopausal womanChia-Shuen LinCi HuangPei-Chen LiYung-Hsiang HsuDah-Ching DingTeratoma of the ovary is the most frequently encountered germ cell tumor. It usually occurs in young women. Gliomatosis peritonei (GP) is mature neural glial tissue implanted onto the peritoneal surface. We present a case of a mature teratoma accompanied by GP and massive ascites in postmenopausal women. A 54-year-old, G0P0, woman presented in the gynecology outpatient department with abdominal distension for 6 months. Computed tomography scan of the abdomen and pelvis displayed an ovarian mass about 20 cm × 18 cm with peritoneal seeding, ascites, and enlarged paraaortic lymph nodes. A total hysterectomy and bilateral adnexectomy were performed. The pathology showed the left ovary contained a dermoid cyst. The biopsy of the peritoneal nodule displayed glial tissue confirming the diagnosis of GP. The patient remained in good condition 6 months postoperatively. We suggest GP be considered in patients presenting with teratomas and massive ascites. The radiological diagnosis is challenging due to the rarity of GP. Continued follow-up of patients with teratomas and GP is mandatory due to the potential of malignant transformation.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2019;volume=31;issue=4;spage=289;epage=291;aulast=LinAscitesGliomatosis peritoneiTeratoma |
| spellingShingle | Chia-Shuen Lin Ci Huang Pei-Chen Li Yung-Hsiang Hsu Dah-Ching Ding Huge ovarian mature cystic teratoma with gliomatosis peritonei and massive ascites in a postmenopausal woman Tzu Chi Medical Journal Ascites Gliomatosis peritonei Teratoma |
| title | Huge ovarian mature cystic teratoma with gliomatosis peritonei and massive ascites in a postmenopausal woman |
| title_full | Huge ovarian mature cystic teratoma with gliomatosis peritonei and massive ascites in a postmenopausal woman |
| title_fullStr | Huge ovarian mature cystic teratoma with gliomatosis peritonei and massive ascites in a postmenopausal woman |
| title_full_unstemmed | Huge ovarian mature cystic teratoma with gliomatosis peritonei and massive ascites in a postmenopausal woman |
| title_short | Huge ovarian mature cystic teratoma with gliomatosis peritonei and massive ascites in a postmenopausal woman |
| title_sort | huge ovarian mature cystic teratoma with gliomatosis peritonei and massive ascites in a postmenopausal woman |
| topic | Ascites Gliomatosis peritonei Teratoma |
| url | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2019;volume=31;issue=4;spage=289;epage=291;aulast=Lin |
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