Radiology Case Reports (Jan 2019)

Squamous cell carcinoma arising in a partially ruptured giant mature cystic teratoma: A case report

  • Jean Sebastien Rowe, MD,
  • Gabriel Makar, BS,
  • Thomas Holdbrook, MD,
  • Pauline Germaine, DO

Journal volume & issue
Vol. 14, no. 1
pp. 97 – 102

Abstract

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Mature cystic teratomas are the most common ovarian germ cell tumors and represent 70% of the benign ovarian tumors occurring in women under age 30. In less than 2% of cases, these tumors can transform into malignancies. Squamous cell carcinoma arises most frequently from these tumors (in 80% of cases). Intra-peritoneal rupture accounts for approximately 1%-2% of cystic teratoma complications with most ruptures occurring either intraoperatively during laparoscopic surgery or due to trauma. This case report describes the common presentation, imaging, and pathologic findings of a mature cystic teratoma with 2 uncommon associated complications. Keywords: Mature ovarian teratoma, Ovarian germ cell tumor, Ovarian squamous cell cancer, Rupture, Malignant transformation