Citation: Dominguez MS, Ribera L, Munmany M, Gracia M, Diaz B, et al. The overlooked value of ultrasound in the perioperative care of ovarian immature teratoma. J Clin Images Med Case Rep. 2021; 2(6): 1473.

Description

Ovarian immature teratoma is a rare malignant tumor that appears in young women [1,2]. Diagnosis can be challenging due to the lack of characteristic features in ultrasound or CT/ MRI images, and is usually achieved through the anatomopathological analysis [1].

Treatment normally involves oophorectomy, which may affect fertility in these patients [3].

The clinical image we are presenting belongs to a 28-yearold female patient suffering from abdominal pain. MRI findings suggested a benign dermoid cyst (Figure 1), which was discordant with the ultrasound findings that suspected an immature teratoma.

Ultrasound image (Figure 2) showed an 8 centimeters solidcystic tumor with central vascularization in the Doppler study (score 3). The presence of vascularization, despite not being a pathognomonic sign, should be taken into account by the clinician and consider malignancy [1,2].

With the presentation of this image, we aim to remark that suspicious findings in ultrasound image may lead to a better preoperative counseling regarding patient’s fertility.

References

1. Abdullahi Idle S, Hayes K, Ross JA. Ultrasound features of immature ovarian teratomas: Case series and review of literature. Ultrasound. 2020; 28: 82-90.
2. Saba L, Guerriero S, Sulcis R, Virgilio B, Melis GB, Mallarini G. Mature and immature ovarian teratomas: CT, US and MR imaging characteristics. Eur J Radiol. 2009; 72: 454-463.
3. Di Tucci C, Casorelli A, Morrocchi E, Palaia I, Muzii L, Panici PB. Fertility management for malignant ovarian germ cell tumors patients. Crit Rev Oncol Hematol. 2017; 120: 34-42.