PMC10423442_01
Abdominal ultrasound showed bilateral mature cystic teratoma.
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The result showed bilateral mature cystic teratoma (Figure 1).
(a) Right ovarian cyst. (b) Hairs and bone inside the right ovarian cyst. (c) Ruptured left ovarian cyst. (d) Mucinous and serous fluid, with hairs and bone inside the ruptured left ovarian cyst.
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The right ovarian cyst measured 10 x 8 x 4 cm with adhesions to the posterior corpus of the uterine (Figure 2(a) and (b)). The left ovarian cyst ruptured spontaneously during adhesiolysis, leaking out a mixture of mucinous and serous fluid, hair, and bone (Figure 2(c) and (d)).
Macroscopic specimen: white-brownish left and right ovaries containing porridge-like fluid, soft yellowish butter-like semisolid material, hairs, and bones. (a & b) Left ovarian cyst. (c & d) Right ovarian cyst.
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On gross examination, the pathologist found the white-brownish left and right ovarian cysts with a size of 12 x 9 x 7 cm and 10 x 8 x 5 cm, respectively (Figure 3(a) and (c)). On the cut section, a unilocular cyst containing porridge-like fluid, typical soft yellowish butter-like material, hair, and a solid mass of bone was found (Figure 3(b) and (d)).
Pathological findings: (a) tumor nests, (b-c) hyperchromatic, pleomorphic, and vesicular nuclei, with prominent nucleoli and mitotic figures of the right ovary. (d) Hyperchromatic, pleomorphic, and vesicular nuclei, with prominent nucleoli and mitotic figures of the left ovary. (e) Keratin pearls.
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The conclusion was SCC, an MT from benign cystic teratoma in bilateral ovaries (Figure 4(a)-(e)).