E-ISSN 2149-2018


Applied Medical Research. 2019; 6(1):(65-72)


Sarcomatous transformation with metastatic deposits in the Omentum in Teratoma of the Ovary: A case report and review of the literature

Ola A. Harb, Ahmed A. Obaya, Loay M. Gertallah, Khalid Fathy Helal, Mohamed SH. Ramadan, Sherif Y. Yousif

Abstract
Symptoms: A 25-year-old woman was presented with abdominal pain, mass, and fever. Physical examination revealed a tender abdominal mass and fever. Investigations: Ultrasound abdomen showed a solid and cystic mass arising from the right adnexa. Magenitic Resonance Imaging (MRI) pelvis showed a large dermoid cyst arising from the right ovary, pelvic lymph nodes enlargement, and omental deposits. Interventions: Total abdominal hysterectomy and bilateral salpingo-oophorectomy, omentectomy, and pelvic and para-aortic lymph nodes excision. Histopathology: Solid diffuse growth of malignant spindle cells with a high number of abnormal mitotic figures and areas of necrosis. Post-Operative Period: The patient was given two cycles of chemotherapy and she was discharged to come again for five to six courses of chemotherapy. Patient was followed up for 1 year and no recurrence or metastasis noted. Conclusion: The current case will add to the knowledge of pathologists, gynecologists, and oncologists, thereby helping in early diagnosis and better management of sarcomatous transformation in the mature cystic teratoma
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