Skip to main content

Advertisement

Log in

Malignant transformation of a mature cystic teratoma of the ovary with rupture

  • Case Report
  • Published:
Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

Malignant transformation or tumor rupture is a rare complication of ovarian mature cystic teratomas. We present computed tomography (CT) images of a 52-year-old woman that revealed a large, predominantly cystic mass filled with fat and enhanced solid components located in the lower abdomen. Ten days later, the cystic mass ruptured, and massive ascites was observed on magnetic resonance imaging (MRI). Resulting from the rupture, MRI revealed reduced size and thickening wall of the tumor. After resection, the mass ruptured, and malignant transformation (squamous cell carcinoma) was observed. To our knowledge, there are no reports describing before and after images of a ruptured cystic teratoma with malignant transformation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Rha SE, Byun JY, Jung SE, Kim HL, Oh SN, Kim H, et al. Atypical CT and MRI manifestations of mature ovarian cystic teratomas. AJR Am J Roentgenol 2004;183:743–750.

    PubMed  Google Scholar 

  2. Fibus TF. Intraperitoneal rupture of a benign cystic ovarian teratoma: findings at CT and MRI imaging. AJR Am J Roentgenol 2000;174:261–262.

    CAS  PubMed  Google Scholar 

  3. Takemori M, Nishimura R. MRI findings of an ovarian dermoid cyst with malignant transformation. Magn Reson Med Sci 2003;2:105–108.

    Article  PubMed  Google Scholar 

  4. Phupong V, Sueblinvong T, Triratanachat S. Ovarian teratoma with diffused peritoneal reactions mimicking advanced ovarian malignancy. Arch Gynecol Obstet 2004;270:189–191.

    Article  PubMed  Google Scholar 

  5. Abitbol MM, Pomerance W, Mackles A. Spontaneous intra-peritoneal rupture of benign cystic teratomas: review of literature and report of two cases. Obstet Gynecol 1959;13:198–203.

    Article  CAS  PubMed  Google Scholar 

  6. Wang PC, Yang TL, Pan HB. CT images of a malignant-transformed ovarian mature cystic teratoma with rupture. Korean J Radiol 2008; 9:458–461.

    Article  PubMed  Google Scholar 

  7. Maslin P, Luchs JS, Haas J, Katz DS. Ovarian teratoma with malignant transformation: CT diagnosis. AJR Am J Roentgenol 2002;178:1574.

    PubMed  Google Scholar 

  8. Lai PF, Hsieh SC, Chien JC, Fang CL, Chan WP, Yu C. Malignant transformation of an ovarian mature cystic teratoma: computed tomography findings. Arch Gynecol Obstet 2005;271:355–357.

    Article  PubMed  Google Scholar 

  9. Kikkawa U, Nawa A, Tamakoshi K, Ishikawa H, Kuzuya K, Suganuma N, et al. Diagnosis of squamous cell carcinoma arising from mature cystic teratoma of the ovary. Cancer 1998;82:2249–2255.

    Article  CAS  PubMed  Google Scholar 

  10. Kido A, Togashi K, Konishi I, Kataoka ML, Koyama T, Ueda H, et al. Dermoid cysts of ovary with malignant transformation: MR appearance. AJR 1999;172:445–449.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Takahiro Hosokawa.

About this article

Cite this article

Hosokawa, T., Sato, Y., Seki, T. et al. Malignant transformation of a mature cystic teratoma of the ovary with rupture. Jpn J Radiol 28, 372–375 (2010). https://doi.org/10.1007/s11604-010-0434-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-010-0434-0

Key words

Navigation