Ayşegül PALA, Aybars ÖZKAN, Öner ÖZDEMİR, Olena ERKUN

Bir Olgu Sunumu: Matür Kistik Over Teratomu

Teratomlar çocuklarda, özellikle genç kızlarda sık rastlanan genellikle iyi huylu tümörlerdir. Over teratomları en sık rastlanan germ hücreli tümörler olup over tümörlerinin %10- 20’sini oluşturur. Over teratomları bir veya daha fazla embriyonik tabakadan geliştiğinden matür ve immatür alt tipleri bulunur. Bu olgu sunumunda karın ağrısı, karında şişlik ve solunum güçlüğü nedeniyle başvuran 14 yaş kız hastada nadir görülen matür kistik over teratomu tanısının konulması ve immatür teratomla ayırıcı tanısının nasıl yapıldığı irdelenmektedir.

Mature Cystic Ovarian Teratoma: A Case Report

Teratomas are mostly benign type of tumors with high incidence in children, especially in young girls. Ovarian teratomas are the most common germ cell tumors and comprise of 10-20% of ovarian tumors. Since ovarian teratomas originate from one or more embryonic layers, they are subdivided into mature and immature subtypes. In this case report, we aim to discuss how the diagnosis of rarely seen mature cystic ovarian teratoma is made and its differentiation from immature teratoma is told in a patient of 14-year-old girl who presented with abdominal pain, swelling and breathing difficulty.

PDF

___

1. Young RH, Clement PB, Suilly RE. The ovary, in Diagnostic surgical pathology, S.S. Sternberg, Editor. 1994, Ravan press: New York. p. 2195.
2. Alotaibi MO, Navarro OM. Imaging of ovarian teratomas in children: a 9-year review. Can Assoc Radiol J. 2010; 61(1):23-8.
3. Virgone C, Alaggio R, Dall'Igna P, Buffa P, Tonegatti L, Ferrari A, et al. Epithelial Tumors of the Ovary in Children and Teenagers: A Prospective Study from the Italian TREP Project. J Pediatr Adolesc Gynecol. 2015; 28(6):441-6
4. Pantoja E, Noy MA, Axtmayer RW, Colon FE, Pelegrina I. Ovarian dermoids and their complications. Comprehensive historical review. Obstet Gynecol Surv. 1975;30(1):1-20.
5. Al Jama FE, Al Ghamdi AA, Gasim T, Al Dakhiel SA, Rahman J, Rahman MS. Ovarian tumors in children and adolescents--a clinical study of 52 patients in a university hospital. J Pediatr Adolesc Gynecol. 2011;24(1):25-8.
6. Shalev E, Bustan M, Romano S, Goldberg Y, Ben-Shlomo I. Laparoscopic resection of ovarian benign cystic teratomas: experience with 84 cases. Hum Reprod. 1998;13(7):1810-2.
7. Morgante G, Ditto A, la Marca A, Trotta V, De Leo V.Surgical treatment of ovarian dermoid cysts. Eur J Obstet Gynecol Reprod Biol. 1998; 81(1):47-50.
8. O'Neill KE, Cooper AR. The approach to ovarian dermoids in adolescents and young women. J Pediatr Adolesc Gynecol. 2011;24(3):176–180.