Ashley Jaramillo-Huff1, Rania Bakkar2, Jason Q McKee2, Nancy Sokkary3. 1. University of New Mexico, School of Medicine, Albuquerque, New Mexico. Electronic address: ashleyhuff@salud.unm.edu. 2. Division of Pediatric and Adolescent Gynecology, Department of Pathology, University of New Mexico Health Science Center, Albuquerque, New Mexico. 3. Division of Pediatric and Adolescent Gynecology, Department of Pediatric Surgery, University of New Mexico Health Science Center, Albuquerque, New Mexico.
Abstract
BACKGROUND: Ovarian mature cystic teratomas (MCTs) rarely transform to primary primitive neuroectodermal tumors. This case report offers evidence that MCTs might have undetected microfoci of malignant neural tumors. CASE: We describe the case of a 12-year-old girl who presented with right-sided abdominal pain and distention. Intraoperative findings revealed a right ovarian MCT. However, pathology showed a 0.5-cm focus of malignant neural tumor within the 11-cm MCT. SUMMARY AND CONCLUSION: This patient will need close follow-up with a multidisciplinary team because the clinical implications of this transformation has yet to be defined.
BACKGROUND: Ovarian mature cystic teratomas (MCTs) rarely transform to primary primitive neuroectodermal tumors. This case report offers evidence that MCTs might have undetected microfoci of malignant neural tumors. CASE: We describe the case of a 12-year-old girl who presented with right-sided abdominal pain and distention. Intraoperative findings revealed a right ovarian MCT. However, pathology showed a 0.5-cm focus of malignant neural tumor within the 11-cm MCT. SUMMARY AND CONCLUSION: This patient will need close follow-up with a multidisciplinary team because the clinical implications of this transformation has yet to be defined.