CT Findings of Tumor and Mature Cystic Teratoma.
10.3348/jkrs.1998.38.1.125
- Author:
Taik Kun KIM
1
;
Bo Kyoung SEO
;
Ji Yong RHEE
;
Kyoo Byung CHUNG
;
Cheol Min PARK
;
Yun Hwan KIM
Author Information
1. Department of Diagnostic Radiology, Korea University College of Medicine.
- Publication Type:Original Article
- Keywords:
Ovary, CT;
Ovary, neoplasms;
Teratoma
- MeSH:
Ascites;
Carcinoid Tumor;
Diagnosis;
Female;
Humans;
Neoplasm Metastasis;
Ovarian Cysts;
Teratoma*;
Tomography, X-Ray Computed
- From:Journal of the Korean Radiological Society
1998;38(1):125-130
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: A tumor and mature ovarian cystic teratoma rarely coexist, but since it may affect treatment andprognosis, appropriate pre-surgical diagnosis is important. The purpose of this study was to evaluate thedifference in CT findings between a tumor coexisting with a mature ovarian cystic teratoma and a simple matureovarian cystic teratoma. MATERIALS AND METHODS: CT scans of seven cases of tumor coexisting with mature ovariancystic teratoma were reviewed. In each case, size, margin, nature, septation, solid portion, ascites, invasion,and metastasis were analysed. RESULTS: Coexistent tumors were histopathologically diagnosed as squamous cellcarcinoma in three patients, carcinoid in three, and fibrothecoma in one. In contrast with a simple matureteratoma, a tumor coexisting with a mature cystic teratoma developed in older patients and had a more solidportion, which showed contrast enhancement but did not show calcification or a fat component. Where a tumor andmature cystic teratoma coexisted, ascites and the invasion of adjacent structures were also common. CONCLUSION: If, in an older patient, CT scanning reveals an ovarian cystic tumor with a large solid portion but nocalcification or fat, coexistent tumor should be suspected.