Review of laparoscopic management of mature cystic teratoma of ovaries in children
Maja Raicevic, Amulya Kumar SaxenaJournal of Indian Association of Pediatric Surgeons 2019 24(2):92-96 Ovarian cystic mature teratomas (OCMTs) are the most frequent ovarian tumors in childhood. This review aimed to determine the feasibility and safety of laparoscopic management of OCMT. Literature was searched for terms “mature,” “ovarian,” “teratomas,” and “laparoscopy.” Primary endpoints were age at surgery, laparoscopic and surgical technique, intraoperative complications, postoperative morbidity, and associated pathology. Literature search revealed 11 articles published between 1998 and 2014 that met the inclusion criteria. There were 105 (n = 95 unilateral; n = 10 bilateral) patients for this analysis, with mean age at surgery being 13 years. Four laparoscopic approaches were opted: gasless transumbilical laparoendoscopic single-site (LESS) surgery (n = 19), gasless multiport surgery (n = 24), single-incision laparoscopic surgery (SILS) (n = 3), and pneumoperitoneum multiport laparoscopy (n = 59). The 10 patients with bilateral OCMT underwent ovary-sparing surgery: LESS-assisted extracorporeal bilateral cystectomy in which tumors were punctured by a balloon catheter (n = 2), intracorporeal cystectomy for gasless multiport laparoscopy (n = 5) with use of endobags to prevent spillage, and transperitoneal multiport laparoscopy (n = 3). OCMT was associated with ipsilateral and unilateral ova...
We describe a case of successful in vitro fertilization pregnancy and delivery after a fertility-sparing laparoscopic operation in a patient with papillary thyroid carcinoma arising from a mature cystic teratoma. PMID: 31401818 [PubMed - as supplied by publisher]
Objective: To compare the intra-operative and post-operative outcomes of laparoendoscopic single-site surgery (LESS) and conventional laparoscopic surgery in mature cystic teratoma of the ovary.
This report includes a review of the current literature, as well as a brief discussion of the clinical management of women with sebaceous carcinoma arising within a mature teratoma. Additionally, we comment on the broader, hereditary significance of a diagnosis of sebaceous carcinoma, and use this case to demonstrate the thorough histologic and genetic evaluation that is recommended for patients diagnosed with this rare tumor.
Journal of Gynecologic Surgery, Ahead of Print.
Conclusion The majority of ovarian lesions in the studied pediatric patients were benign. The most common lesions were simple ovarian cysts. Abdominal pain was the most common presenting symptom.
We have found that women aged over 40 years with radiologically diagnosed mature cystic teratoma (MCT) have a higher rate of malignant transformation (2.8% vs 1.5% all patients).We suggest thatan alternative management strategy may be appropriate in this higher risk group. Specifically, consideration should be given to an open approach to salpingo-opherectomy rather than laparoscopic cystectomy due to the increased risk of malignancy and subsequent spillage of malignancy cells or incomplete resection.
CONCLUSION: Lymphoma in a teratoma is an excessively rare finding with only five previously reported cases. A review of the literature revealed very different theories as to its pathogenesis and management. PMID: 28864175 [PubMed - as supplied by publisher]
Conclusion The results of our study indicate that elevations of CA 19-9 are associated with larger tumor size in women aged 26–35 years, but not in adolescents/young adults. However, elevated serum CA 125 levels are not related to tumor size in either age group.
Abstract Adenomatoid tumors (ATs) are rare, benign neoplasms occurring mainly in reproductive organs such as the uterus, ovaries, fallopian tubes, and testes. Uterine adenomatoid tumors (UATs) are generally incidentally diagnosed during histopathological examination of excisional biopsies performed for other indications, most commonly uterine leiomyomas. We herein present a 38-year-old woman who underwent laparoscopic excision of a uterine leiomyoma and a right ovarian teratoma. Microscopic examination of the excisional biopsy revealed that the enucleated uterine tumor was composed of proliferating glandular tissu...
Publication date: Available online 27 June 2017 Source:Journal of Minimally Invasive Gynecology Author(s): Fabio Rampinelli, Paolo Donarini, Chiara Visenzi, Silvia Ficarelli, Angela Gambino, Giuseppe Ciravolo Teratomas of extragonadal origin are extremely rare, and the most common extragonadal site to find teratomas is the omentum. Teratomas are typically found in women of reproductive age but they are also seen in young girls and postmenopausal women. Generally, teratomas arise from germ cells that may induce different cells to originate from the three primitive embryonic layers. Three main theories have been proposed to...