Behlül BAYDAR, Mehmet ARHAN, İlter ÖZER, Gülden AYDOĞ, Necdet ÖZÇAY, Tahsin DALGIÇ, Fuat ATALAY

Yetmişbir yaşında over kist torsiyonu olan over teratomu

Yaygın olarak dermoid kistler denen matür kistik teratomlar, menapoz öncesi kadınlarda overde en yaygın olarak bulunan benign germ hücre tümörleridir. Bunların büyük çoğunluğu 17-32 yaş arasındadır. Tanı ameliyat öncesinde nadiren konur ve prognoz genellikle kötüdür. Sıklıkla torsiyone olan tümörler 6-15 cm büyüklüğündedir ve teratomalarda en sık görülen komplikasyon da budur. Over kistik teratomunun tanısında batın ultrasonografisi ve tomografisi en iyi metodlardır. Overin kistik teratomları nın tedavisinde laparoskopik cerrahi tercih edilen metod olmalı dır. Bu bildiride 71 yaşında over kistik teratomu torsiyone olan bir hastayı sunduk.

Anahtar Kelimeler:

Over kisti, teratom

71 years old patient with ovarian cyst torsion, presenting with ovarian teratoma

Mature cystic teratomas, commonly called dermoid cysts, are the most common benign germ cell tumors of the ovary found in premenopausal women. The majority of these are in the 17-32 age range. The diagnosis is rarely made preoperatively and the prognosis is usually poor. Tumors of 6-15 cm in size are the tumors most frequently torsioned, and this is the most frequent complication seen in teratomas. Ultrasonography and abdominal tomography are the best methods in the diagnosis of an ovarian cystic teratoma. In the treatment of ovarian cystic teratomas, laparoscopic surgery should be the preferred method. In this report, we present a 71-year- old patient with torsion of an ovarian cystic teratoma.

Keywords:

Ovarian cyst, teratoma,

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Templeman CL, Fallat ME, Lam AM, et al. Managing mature cystic teratomas of the ovary. Obstet Gynecol Surv. 2000 Dec; 55(12): 738-45.
Gopeesingh TD, Rahaman J, Charran D. A clinico-pathologic study of ovarian neoplasm. Int J Gynaecol Obstet. 1988 Jun; 26(3): 413-6.
Portuondo JA, Gimenez B, Rivera JM, et al. Clinical and pathologic evaluation of 342 benign ovarian tumors. Int J Gynaecol Obstet. 1984 Aug; 22(4): 263-7.
Bloomfield TH. Benign cystic teratomas of the ovary: a review of se- venty-two cases. Eur J Obstet Gynecol Reprod Biol. 1987 Jul; 25(3): 231-7.
Ayhan A, Bukulmez O, Genc C, et al. Mature cystic teratomas of the ovary: case series from one institution over 34 years. Eur J Obstet Gynecol Reprod Biol. 2000 Feb; 88(2): 153-7.
Zorlu CG, Kuscu E, Soysal ME, et al. Malignant degeneration of mature cystic teratomas. Aust N Z J Obstet Gynaecol. 1996 May; 36(2): 221-2.
Comerci JT Jr, Licciardi F, Bergh PA, et al. Mature cystic terato- ma: a clinicopathologic evaluation of 517 cases and review of the li- terature. Obstet Gynecol. 1994 Jul; 84(1): 22-8.
Brown MF, Hebra A, McGeehin K, et al. 3rd Ovarian masses in children: a review of 91 cases of malignant and benign masses. J Pediatr Surg. 1993 Jul; 28(7): 930-3.
Granberg S, Wikland M, Jansson I. Macroscopic characterization of ovarian tumors and the relation to the histological diagnosis: cri- teria to be used for ultrasound evaluation. Gynecol Oncol. 1989 Nov; 35(2): 139-44.
Kokoska ER, Keller MS, Weber TR. Acute ovarian torsion in child- ren. Am J Surg. 2000 Dec; 180(6): 462-5.
Vercellini P, Oldani S, Felicetta I, et al. The value of cyst puncture in the differential diagnosis of benign ovarian tumours. Hum Rep- rod. 1995 Jun; 10(6): 1465-9.
Martinez-Onsurbe P, Ruiz Villaespesa A, Sanz Anquela JM, et al. Aspiration cytology of 147 adnexal cysts with histologic correlation. Acta Cytol. 2001 Nov-Dec; 45(6): 941-7.
Albini SM, Benadiva CA, Haverly K, et al. Management of benign ovarian cystic teratomas: laparoscopy compared with laparotomy. J Am Assoc Gynecol Laparosc. 1994 May; 1(3): 219-22.
Okugawa K, Hirakawa T, Fukushima K, et al. Relationship between age, histological type, and size of ovarian tumors. Int J Gynaecol Obstet. 2001 Jul; 74(1): 45-50.