Squamous cell carcinoma malignant transformation in mature cystic teratoma of the ovary: a case report and review of the literature

Abstract Background Mature cystic teratoma of the ovary is classified among the benign ovarian germ cell neoplasms, and its malignant transformation occurs very rarely (in about 2%). As a result of nonspecific signs and symptoms, preoperative diagnosis of theses malignancies is a challenge to clinic...

Full description

Bibliographic Details
Main Authors: Amir Masoud Jafari-Nozad, Najmeh Jahani, Narges Nazeri
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-024-04465-8
_version_ 1797233565753147392
author Amir Masoud Jafari-Nozad
Najmeh Jahani
Narges Nazeri
author_facet Amir Masoud Jafari-Nozad
Najmeh Jahani
Narges Nazeri
author_sort Amir Masoud Jafari-Nozad
collection DOAJ
description Abstract Background Mature cystic teratoma of the ovary is classified among the benign ovarian germ cell neoplasms, and its malignant transformation occurs very rarely (in about 2%). As a result of nonspecific signs and symptoms, preoperative diagnosis of theses malignancies is a challenge to clinicians, resulting in delayed diagnosis (in advanced stages) and poor outcomes. Case presentation We report the case of a 43-year-old Iranian woman with progressive distension of the abdomen and hypogastric pain, who was diagnosed with squamous cell carcinoma transformation in a mature cystic teratoma of the ovary confirmed by histopathology examination. Total abdominal hysterectomy, bilateral salpingooophorectomy, and comprehensive staging surgery were performed for the patient, and she was scheduled for chemotherapy after the surgery. She responded well to the treatment and is currently continuing her chemotherapy process. Conclusion There are a great number of reports in the literature regarding mature cystic teratoma of the ovary transformation into malignancy, so these neoplasms must be considered as a possible differential diagnosis and should be evaluated in older individuals with abdominal pain and palpable mass, or those with considerable tumor diameter and raised serum tumor markers.
first_indexed 2024-04-24T16:18:12Z
format Article
id doaj.art-f21151bf869445d6974953e483d3b739
institution Directory Open Access Journal
issn 1752-1947
language English
last_indexed 2024-04-24T16:18:12Z
publishDate 2024-03-01
publisher BMC
record_format Article
series Journal of Medical Case Reports
spelling doaj.art-f21151bf869445d6974953e483d3b7392024-03-31T11:21:57ZengBMCJournal of Medical Case Reports1752-19472024-03-011811810.1186/s13256-024-04465-8Squamous cell carcinoma malignant transformation in mature cystic teratoma of the ovary: a case report and review of the literatureAmir Masoud Jafari-Nozad0Najmeh Jahani1Narges Nazeri2Student Research Committee, Birjand University of Medical SciencesDepartment of Gynecology, School of Medicine, Valiasr Hospital, Birjand University of Medical SciencesDepartment of Pathology, Faculty of Medicine, Birjand University of Medical SciencesAbstract Background Mature cystic teratoma of the ovary is classified among the benign ovarian germ cell neoplasms, and its malignant transformation occurs very rarely (in about 2%). As a result of nonspecific signs and symptoms, preoperative diagnosis of theses malignancies is a challenge to clinicians, resulting in delayed diagnosis (in advanced stages) and poor outcomes. Case presentation We report the case of a 43-year-old Iranian woman with progressive distension of the abdomen and hypogastric pain, who was diagnosed with squamous cell carcinoma transformation in a mature cystic teratoma of the ovary confirmed by histopathology examination. Total abdominal hysterectomy, bilateral salpingooophorectomy, and comprehensive staging surgery were performed for the patient, and she was scheduled for chemotherapy after the surgery. She responded well to the treatment and is currently continuing her chemotherapy process. Conclusion There are a great number of reports in the literature regarding mature cystic teratoma of the ovary transformation into malignancy, so these neoplasms must be considered as a possible differential diagnosis and should be evaluated in older individuals with abdominal pain and palpable mass, or those with considerable tumor diameter and raised serum tumor markers.https://doi.org/10.1186/s13256-024-04465-8Mature cystic teratomaMalignant transformationOvarian neoplasmSquamous cell carcinoma
spellingShingle Amir Masoud Jafari-Nozad
Najmeh Jahani
Narges Nazeri
Squamous cell carcinoma malignant transformation in mature cystic teratoma of the ovary: a case report and review of the literature
Journal of Medical Case Reports
Mature cystic teratoma
Malignant transformation
Ovarian neoplasm
Squamous cell carcinoma
title Squamous cell carcinoma malignant transformation in mature cystic teratoma of the ovary: a case report and review of the literature
title_full Squamous cell carcinoma malignant transformation in mature cystic teratoma of the ovary: a case report and review of the literature
title_fullStr Squamous cell carcinoma malignant transformation in mature cystic teratoma of the ovary: a case report and review of the literature
title_full_unstemmed Squamous cell carcinoma malignant transformation in mature cystic teratoma of the ovary: a case report and review of the literature
title_short Squamous cell carcinoma malignant transformation in mature cystic teratoma of the ovary: a case report and review of the literature
title_sort squamous cell carcinoma malignant transformation in mature cystic teratoma of the ovary a case report and review of the literature
topic Mature cystic teratoma
Malignant transformation
Ovarian neoplasm
Squamous cell carcinoma
url https://doi.org/10.1186/s13256-024-04465-8
work_keys_str_mv AT amirmasoudjafarinozad squamouscellcarcinomamalignanttransformationinmaturecysticteratomaoftheovaryacasereportandreviewoftheliterature
AT najmehjahani squamouscellcarcinomamalignanttransformationinmaturecysticteratomaoftheovaryacasereportandreviewoftheliterature
AT nargesnazeri squamouscellcarcinomamalignanttransformationinmaturecysticteratomaoftheovaryacasereportandreviewoftheliterature