Obtetrics and Gynecology Department, Hospital Clinic, Barcelona, Spain
*Corresponding Author: M Santana Dominguez
Obtetrics and Gynecology Department, Hospital Clinic, Barcelona, Spain.
Email: [email protected]
Received : Oct 20, 2021
Accepted : Dec 06, 2021
Published : Dec 13, 2021
Archived : www.jcimcr.org
Copyright : © Dominguez MS (2021).
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 .
Treatment normally involves oophorectomy, which may affect fertility in these patients .
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.