Giant ovarian teratoma. Clinical case presentation

Abstract

Abstract:

The giant ovarian teratoma is a neoplasm that can be benign or malignant according to its histological type. These tumors will be classified as mature or benign and immature or malignant, and their treatment and prognosis will depend on it. The aim of this work is to present a clinical case of giant teratoma of ovary, its diagnosis and treatmentMaterials and methods: a qualitative, descriptive study was performed; clinical case presentation of a giant ovarian teratoma. Relevant aspects of this neoplasia and the importance of timely diagnosis are described. Authorization was obtained from the teaching and research department of the Alfredo G Paulson Hospital, allowing the review of clinical history and images, for the publication of the present case. Results: the case of a 31-year-old female patient presented with a large palpable abdominal mass, accompanied by pain in the left iliac fossa, which radiates to the lower limb on the same side Surgical treatment is provided by performing total abdominal hysterectomy, left salpingo-oophorectomy, right ovary wedge resection, omentectomy, and adhesiolysis; a left appendage tumor of 26 x 20 x 15 cm is obtained, whose histopathological diagnosis was reported: Grade 2 immature teratoma in left ovary. Conclusions: Ovarian teratoma should be diagnosed early, despite its non-specific signs and symptoms; if it is a mature teratoma in young people or adolescents, conservative surgical treatment with cystectomy and periodic annual follow-up is recommended, if it is an immature teratoma according to its stage, we will proceed to accompany the surgical treatment of total oophorectomy salpingo with adjuvant chemotherapy. The prognosis of the teratoma is generally good, since 80% of cases are of benign origin, however, there is a small percentage of risk of transformation to malignant, so it is a pathology of great care, control and interest.