Öz
A case of bilateral dermoid cyst accompanied by
unilateral over-torsion with acute abdomen was
presented. A 35-year-old patient presented with acute
abdomen in the emergency department. Two complete
rounds of torsion and bilateral dermoid cysts were
detected during the surgery. Left salpingoformectomy
and right cystectomy were performed. During
cystectomy, together with the hair one incisor tooth and
bone like tissue was detected. Dermoids are mature
teratomas arising from the germ cells, and therefore they
can contain elements of all three germ cell layers such as
epidermis, hair, calcified bone, teeth, fat and soft tissue
like in our case. Since bilaterality is a common feature of
dermoids, it should be examined in the opposite over
dermoid cyst, even in cases of emergency unilateral
torsion, so that future multiple torsion cases can be
prevented.
Kaynakça
- 1. DiSaia PJ, Creasman WT. Germ cell, stromal, and other ovarian tumors. In: Gaertner R, Simpson D, editors. Clinical Gynecologic Oncology. 7. Philadelphia: Mosby Elsevier; 2007. pp. 369–395.
- 2. Ayhan A, Bukulmez O, Genc C, Karamursel BS, Ayhan A. Mature cystic teratomas of the ovary: case series from one institution over 34 years. Eur J Obstet Gynecol Reprod Biol 2000; 88(2):153-157.
- 3. Kahraman K, Cetinkaya SE, Kankaya D, Dunder I, Soylemez F. Squamous cell carcinoma arising from mature cystic teratoma of the ovary with synchronous endometrial adenocarcinoma. J Obstet Gynaecol Res 2011;37(2):146–150
- 4. Chiang AJ, La V, Peng J, Yu KJ, Teng NN. Squamous cell carcinoma arising from mature cystic teratoma of the ovary. Int J Gynecol Cancer 2011;21(3):466–474
- 5. Shariat Torbaghan S, Aleagha M, Sedighi S, Azadbakht F, Keshvari A, Hajarizadeh B, Rosai J. Squamous cell carcinoma arising in an ovarian mature cystic teratoma: a case report. Arch Iran Med 2009; 12(2):186–189
- 6. Sah SP, Uprety D, Rani S. Germ cell tumors of the ovary: a clinicopathologic study of 121 cases from Nepal. J Obstet Gynaecol Res 2004;30(4):303– 308.
- 7. Hackethal A, Brueggmann D, Bohlmann MK, et al. Squamous-cell carcinoma in mature cystic teratoma of the ovary: systematic review and analysis of published data. Lancet Oncol 2008; 9:1173-80.
- 8. Outwater EK, Siegelman ES, Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. Radiographics 2001;21(2):475-90.
- 9. Ozgur T, Atik E, Silfeler DB, et al. Mature cystic teratomas in our series with review of the literature and retrospective analysis. Arch Gynecol Obstet 2012;285(4):1099-101.
- 10. Lee YH, Kim SG, Choi SH, Kim IS, Kim SH. Ovarian mature cystic teratoma containing homunculus: a case report. Korean Med Sci 2003;18(6):905-7.
Öz
Akut batın ile başvuran tek taraflı over torsiyonunun eşlik ettiği
bilateral dermoid kist vakası takdim edildi. 35 yaşında hasta acil
servise akut batın ile başvurdu. Cerrahi sırasında sol over iki tam tur
torsiyone ve bilateral dermoid kisti saptandı. Sol salfingooforektomi
ve sağ kistektomi uygulandı. Kistektomi sırasında yağ dokusu ile
beraber bir adet kesici diş, kemik benzeri yapı ve saç dokusu
saptandı. Dermoidler germ hücrelerinden kaynaklanan matür
teratomlardır, bu yüzden epiderm, saç, kalsifiye kemik, diş, yağ gibi
her üç germ hücre tabakasından yapı içerebilir. Bilateralite,
dermoidlerin sık rastlanan bir özelliği olduğundan, acil alınan tek
taraflı torsiyon vakalarında dahi karşı over dermoid kist açısından
incelenmeli, böylece gelecekte ortaya çıkabilecek mükerrer over
torsiyonu vakaları da önlenebilir.
Anahtar Kelimeler
Kaynakça
- 1. DiSaia PJ, Creasman WT. Germ cell, stromal, and other ovarian tumors. In: Gaertner R, Simpson D, editors. Clinical Gynecologic Oncology. 7. Philadelphia: Mosby Elsevier; 2007. pp. 369–395.
- 2. Ayhan A, Bukulmez O, Genc C, Karamursel BS, Ayhan A. Mature cystic teratomas of the ovary: case series from one institution over 34 years. Eur J Obstet Gynecol Reprod Biol 2000; 88(2):153-157.
- 3. Kahraman K, Cetinkaya SE, Kankaya D, Dunder I, Soylemez F. Squamous cell carcinoma arising from mature cystic teratoma of the ovary with synchronous endometrial adenocarcinoma. J Obstet Gynaecol Res 2011;37(2):146–150
- 4. Chiang AJ, La V, Peng J, Yu KJ, Teng NN. Squamous cell carcinoma arising from mature cystic teratoma of the ovary. Int J Gynecol Cancer 2011;21(3):466–474
- 5. Shariat Torbaghan S, Aleagha M, Sedighi S, Azadbakht F, Keshvari A, Hajarizadeh B, Rosai J. Squamous cell carcinoma arising in an ovarian mature cystic teratoma: a case report. Arch Iran Med 2009; 12(2):186–189
- 6. Sah SP, Uprety D, Rani S. Germ cell tumors of the ovary: a clinicopathologic study of 121 cases from Nepal. J Obstet Gynaecol Res 2004;30(4):303– 308.
- 7. Hackethal A, Brueggmann D, Bohlmann MK, et al. Squamous-cell carcinoma in mature cystic teratoma of the ovary: systematic review and analysis of published data. Lancet Oncol 2008; 9:1173-80.
- 8. Outwater EK, Siegelman ES, Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. Radiographics 2001;21(2):475-90.
- 9. Ozgur T, Atik E, Silfeler DB, et al. Mature cystic teratomas in our series with review of the literature and retrospective analysis. Arch Gynecol Obstet 2012;285(4):1099-101.
- 10. Lee YH, Kim SG, Choi SH, Kim IS, Kim SH. Ovarian mature cystic teratoma containing homunculus: a case report. Korean Med Sci 2003;18(6):905-7.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Ağustos 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 2 Sayı: 2 |
Zonguldak Bülent Ecevit Üniversitesi Tıp Fakültesi’nin bilimsel yayım organıdır.
Ulusal ve uluslararası tüm kurum ve kişilere elektronik olarak ücretsiz ulaşmayı hedefleyen hakemli bir dergidir.
Dergi yılda üç kez olmak üzere Nisan, Ağustos ve Aralık aylarında yayımlanır.
Derginin yayım dili Türkçe ve İngilizcedir.