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Recurrent Mature Cystic Ovarian Teratoma in Adolescence: Atypical Case of the Growing Teratoma Syndrome

Benoit, Michelle F. MD*; Hannigan, Edward V. MD*; Strickland, Julie L. MD, MPH

doi: 10.1097/01.AOG.0000159679.38216.d6
Case Reports
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BACKGROUND: A primary mature cystic ovarian teratoma was diagnosed in an adolescent female. She was followed up after initial exploration with computed tomography, pelvic ultrasonography, and serum tumor markers. Recurrent tumor, consisting solely of mature teratomatous elements, was confirmed with 2 subsequent laparotomies.

CASE: This is a report of the growing teratoma syndrome in a young woman with a primary diagnosis of a mature cystic ovarian teratoma not treated with adjuvant chemotherapy.

CONCLUSION: The growing teratoma syndrome is an uncommon condition. Surgical resection of recurrent lesions is necessary to reduce potential complications of abdominopelvic organ compression and obstruction and to evaluate for the presence of malignant degeneration.

A case of a recurrent mature cystic ovarian teratoma occurred in an adolescent.

*Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of Texas Medical Branch at Galveston, Galveston, Texas; and †Department of Obstetrics and Gynecology, Truman Medical Center, The University of Missouri, Kansas City, Missouri

Received June 30, 2004. Received in revised form August 23, 2004. Accepted September 1, 2004.

Address reprint requests to: Michelle F. Benoit, md, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of Texas Medical Branch at Galveston, 301 University Boulevard, Galveston, TX 77555; e-mail: mibenoit@utmb.edu.

© 2005 The American College of Obstetricians and Gynecologists