Multiple ve Bilateral Matür Kistik Teratom: Nadir Bir Olgu Sunumu

Year 2023, Issue: 19, 327 - 333, 29.04.2023

Eser Ağar

https://doi.org/10.38079/igusabder.878988

Abstract

Genç ve orta yaşlı kadınlarda en sık görülen iyi huylu over tümörleri, matür teratomlardır (dermoid kistler). Matür teratomların bilateralizm oranı %10'dur. Matür teratomların sağ ve sol overlerde görülme sıklığı eşittir ve malign dönüşüm olguların %1-3'ünde gözlenir. Sonografik incelemede, matür kistik teratomlar yağ ve kalsifikasyon alanlarının görüldüğü kistik, katı veya heterojen kitle olarak görülür. Makroskopik olarak, olguların %90'ında yağ alanları ve %50'sinde kalsifikasyon alanları gözlenir. 28 yaşındaki bir bekâr kadın hastamız, her iki adneksal bölgede ağrı şikayeti ile başvurdu. Tümör belirteçleri normal olarak saptandı. Yan yana sağ over parankiminde 65x47 mm boyutunda kompleks bir kitle ve yan yana sol over parankiminde 44x41 mm boyutunda kompleks bir kitle görüldü. Ancak ameliyat sırasında palpasyon yapıldığında, bu kistin yanında iki tane daha teratom olduğu görüldü. Hem bilateral hem de çoklu matür teratomlar nadir görüldüğü için olgumuzu sunmaya karar verdik.

Keywords

Bilateral Over dermoid kist, bilateral matür kistik teratom, bilateral ovaryen kitle

Multiple and Bilateral Mature Cystic Teratoma: A Rare Case Report

Abstract

Mature teratomas, also known as dermoid cysts, are the most commonly occurring benign ovarian tumors in young and middle-aged women. Bilateral occurrence of mature teratomas is observed in 10% of cases. The incidence rate of mature teratomas is equal in both the right and left ovaries, and malignant transformation is observed in 1-3% of cases. At sonographic examination, mature cystic teratomas appear as cystic, solid, or heterogeneous masses containing areas of fat and calcification. Macroscopically, areas of fat are observed in 90% of cases, while areas of calcification are observed in 50% of them. In our presented case, a 28-year-old virgin female patient complained of pain in both adnexal regions, and tumor markers were found to be normal. During imaging, a complex mass measuring 65x47 mm was observed in the adjacent right ovarian parenchyma, and a complex mass measuring 44x41 mm was observed in the adjacent left ovarian parenchyma. However, during surgery, it was discovered that there were two additional teratomas adjacent to the cyst. Given that the presence of both bilateral and multiple mature teratomas is rare, decided to present this case.

Keywords

Bilateral ovarian dermoid cyst, multiple mature cystic teratomas, bilateral ovarian mass

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