Article Data

  • Views 1188
  • Dowloads 106

Case Reports

Open Access

Squamous cell carcinoma arising in a mature cystic teratoma of the ovary with synchronous invasive lobular breast cancer: case report

  • G.M. Filippakis1
  • E.E. Lagoudianakis1
  • M. Genetzakis1
  • P. Antonakis1
  • A. Papadima1
  • A. Boussiotou1
  • V. Katergiannakis1
  • A. Manouras1,*,

1First Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, Athens, Greece

DOI: 10.12892/ejgo200605537 Vol.27,Issue 5,September 2006 pp.537-540

Published: 10 September 2006

*Corresponding Author(s): A. Manouras E-mail:

Abstract

Malignant transformation of a mature ovarian cystic teratoma is the most serious complication of this relatively common neoplastic lesion. While any constituent tissue of the teratoma can undergo malignant transformation, squamous cell carcinoma represents approximately 80% of those malignancies. Furthermore, the synchronous occurrence of a second malignancy in that setting is extremely rare. Preoperative diagnosis of malignant transformation within a mature cystic teratoma is extremely difficult and poses a great challenge to current clinical surgical practice. The particularly aggressive behavior of this rare tumor, also poses significant surgical managing dilemmas. We present a case report of a premenopausal woman with an invasive squamous cell carcinoma arising in a mature cystic teratoma and a synchronous invasive lobular carcinoma of the breast.

Keywords

Mature cystic teratoma; Squamous cancer; Synchronous neoplasia; Multiple gynecological cancers

Cite and Share

G.M. Filippakis,E.E. Lagoudianakis,M. Genetzakis,P. Antonakis,A. Papadima,A. Boussiotou,V. Katergiannakis,A. Manouras. Squamous cell carcinoma arising in a mature cystic teratoma of the ovary with synchronous invasive lobular breast cancer: case report. European Journal of Gynaecological Oncology. 2006. 27(5);537-540.

References

[1] Tseng C.J., Chou H.H., Huang K.G.. Chang T.C., Liang C.C., Lai C.H. et al.: "Squamous cell carcinoma arising in mature cystic teraroma of the ovary". Gynecol. Oncol., 1996. 63, 364.

[2] Peterson W.F.: "Malignant degeneration of benign cystic teratomas of the ovary; a collective review of the literature". Ohstet. Gynecol. Surv., 1957, 12, 793.

[3] Kelley R.R., Scully R.E.: "Cancer developing in dermoid cysts of the ovary. A report of 8 cases, including a carcinoid and a leiomyosarcoma". Cancer, 1961, 14. 989.

[4] Stamp G.W.H., McConnell E.M.: ·'Malignancy arising in cystic ovarian teratomas. A report of 24 cases". Br. J. Ohstet. Gynaecol., 1983, 90, 671.

[5] Hirakawa T., T suneyoshi M., Enjoji M.: "Squamous cell carcinoma arising in ovarian mature cystic teratoma: Clinicopathological and topographic analysis". Am. J. Surg. Pathol., 1989, 13,397.

[6] Chen R.J., Huang P.T., Lin M.C., Huang S.C., Chow S.N., Hsieh C. Y.: "Advanced stage squamous cell carcinoma arising from mature cystic teratoma of the ovary". Acta Ohstet. Gynecol Scand., 2001, 80, 84.

[7] Eisner R.F., Nieberg R.K., Berek J.S.: "Synchronous pnmary neoplasms of the female reproductive tract". Gynecol. Oneal.. 1989, 33, 335.

[8] Outwater E.K., Siegehnan E.S.: "Ovarian teratomas: Tumor types and imaging characteristics·•. RadioGraphics, 2001, 21, 475.

[9] Mori Y., Nishii H., Takabe K.. Shinozaki H., Matsumoto N., Suzuki K. et al.: "Preoperative diagnosis of malignant transformation arising from mature cystic teratoma of the ovary". Gynecol Oncol., 2003, 90, 338.

Submission Turnaround Time

Top