Ovarian Teratomas: A Spectrum of Disease. An approximation for radiologists in training
Main Article Content
Abstract
Ovarian teratomas are the ovary's most frequent germ cell tumors and can be either mature or immature. Ovarian teratomas can also have a monodermal form; struma ovarii is the most common type and are usually multilocular cystic lesions with variable locules. Another less common types of monodermal lesion are ovarian carcinoids. Mature cystic teratomas are composed of predominantly fat, while immature teratomas have a larger solid component with only small foci of fat. This review article discusses the various types of ovarian teratomas with their respective imaging findings, gross pathological, histopathological, complications, and clinical management.
Keywords:
germ cell tumor, ovarian teratoma, dermoid cyst, teratoma, immature, struma ovarii, carcinoma
Article Details
How to Cite
CAUSA ANDRIEU, Pamela et al.
Ovarian Teratomas: A Spectrum of Disease. An approximation for radiologists in training.
Medical Research Archives, [S.l.], v. 10, n. 6, june 2022.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/2800>. Date accessed: 25 apr. 2024.
doi: https://doi.org/10.18103/mra.v10i6.2800.
Section
Review Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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3. Srisajjakul S, Prapaisilp P, Bangchokdee S. Imaging features of unusual lesions and complications associated with ovarian mature cystic teratoma. Clin Imaging. 2019;57:115-123.
4. Park SB, Kim JK, Kim KR, Cho KS. Imaging findings of complications and unusual manifestations of ovarian teratomas. Radiographics. 2008;28(4):969-983.
5. Bakir B, Bakan S, Tunaci M, et al. Diffusion-weighted imaging of solid or predominantly solid gynaecological adnexial masses: is it useful in the differential diagnosis? Br J Radiol. 2011;84(1003):600-611.
6. Buy JN, Ghossain MA, Moss AA, et al. Cystic teratoma of the ovary: CT detection. Radiology. 1989;171(3):697-701.
7. Iavazzo C, Vorgias G, Iavazzo PE, Gkegkes ID. Fertility sparing approach as the standard of care in young patients with immature teratomas. J Turk Ger Gynecol Assoc. 2017;18(1):43-47.
8. Outwater EK, Siegelman ES, Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. Radiographics. 2001;21(2):475-490.
9. Shaaban AM, Rezvani M, Elsayes KM, et al. Ovarian malignant germ cell tumors: cellular classification and clinical and imaging features. Radiographics. 2014;34(3):777-801.
10. Bazot M. Imagerie de la femme: gynecologie. Vol 12017.
11. Chen VW, Ruiz B, Killeen JL, et al. Pathology and classification of ovarian tumors. Cancer. 2003;97(10 Suppl):2631-2642.
12. Sahin H, Abdullazade S, Sanci M. Mature cystic teratoma of the ovary: a cutting edge overview on imaging features. Insights Imaging. 2017;8(2):227-241.
13. Wang W-C, Lai Y-C. Evidence of metachronous development of ovarian teratomas: a case report of bilateral mature cystic teratomas of the ovaries and systematic literature review. J Ovarian Res. 2017;10(1):17-17.
14. Foti PV, Attinà G, Spadola S, et al. MR imaging of ovarian masses: classification and differential diagnosis. Insights into imaging. 2016;7(1):21-41.
15. Wasnik A, Elsayes K. Ovarian cystadenofibroma: A masquerader of malignancy. Indian J Radiol Imaging. 2010;20(4):297-299.
16. Lee EJ, Kwon HC, Joo HJ, Suh JH, Fleischer AC. Diagnosis of ovarian torsion with color Doppler sonography: depiction of twisted vascular pedicle. J Ultrasound Med. 1998;17(2):83-89.
17. Chang CK, Teng SW, Leu FJ. Laparoscopy versus laparotomy for cystic ovarian teratomas. Int J Gynaecol Obstet. 2005;88(1):69-70.
18. Magudia K, Menias CO, Bhalla S, et al. Unusual Imaging Findings Associated with Germ Cell Tumors. Radiographics. 2019;39(4):1019-1035.
19. Sinha A, Ewies AA. Ovarian Mature Cystic Teratoma: Challenges of Surgical Management. Obstet Gynecol Int. 2016;2016:2390178.
20. Yamaoka T, Togashi K, Koyama T, et al. Immature teratoma of the ovary: correlation of MR imaging and pathologic findings. Eur Radiol. 2003;13(2):313-319.
21. Gupta N, Dougall P, Mahawar S. Primary ovarian carcinoid and dotanoc positron emission tomography-computed tomography scan. World J Nucl Med. 2019;18(1):69-70.
22. (RCOG) RCoOaG. Management of Adnexal Masses in Premenopausal Women. . UK: Royal College of Obstetricians and Gynaecologists (RCOG); 2011. 2011.
23. Brown J, Friedlander M, Backes FJ, et al. Gynecologic Cancer Intergroup (GCIG) consensus review for ovarian germ cell tumors. Int J Gynecol Cancer. 2014;24(9 Suppl 3):S48-54.
24. Ulaner G. Fundamentals of Oncologic PET/CT. 1st Edition. . Elselveier,Inc. ; 2019.
25. Javadi S, Ganeshan DM, Qayyum A, Iyer RB, Bhosale P. Ovarian Cancer, the Revised FIGO Staging System, and the Role of Imaging. AJR Am J Roentgenol. 2016;206(6):1351-1360.
26. DeSimone CP, Lele SM, Modesitt SC. Malignant struma ovarii: a case report and analysis of cases reported in the literature with focus on survival and I131 therapy. Gynecol Oncol. 2003;89(3):543-548.