Document Detail

Poor prognosis of intraoperative rupture of mature cystic teratoma with malignant transformation.
MedLine Citation:
PMID:  17175475     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To present the phenomenon of the postoperative rapid progression of mature cystic teratoma (MCT) with malignant transformation (MT) when intraoperative spillage occurs during operation. CASE REPORTS: Two patients with MCT were treated, one with total hysterectomy plus bilateral salpingo-oophorectomy in an exploratory laparotomy, and the other with cystectomy with laparoscopy, respectively. Tumor spillage occurred during both operations. The postoperative pathology showed MCT with MT (squamous cell carcinoma type). Both patients were referred to our hospital and underwent treatment (3 months and 8 days, respectively, after the initial operation). At the secondary laparotomy for staging surgery, tumor dissemination was observed in both patients. CONCLUSION: Whether or not tumor dissemination is correlated with tumor rupture during operation, we emphasize that any patient with a preoperative diagnosis of MCT should have it removed intact to avoid the possibly catastrophic event of tumor dissemination.
Kuo-Chang Wen; Wei-Ming Hu; Nae-Fang Twu; Pwu Chen; Peng-Hui Wang
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  45     ISSN:  1875-6263     ISO Abbreviation:  -     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-12-18     Completed Date:  2007-01-09     Revised Date:  2007-12-28    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China    
Other Details:
Languages:  eng     Pagination:  253-6     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, and Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan.
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MeSH Terms
Abscess / surgery
Carcinoma, Squamous Cell / pathology*
Cell Transformation, Neoplastic*
Chemotherapy, Adjuvant
Disease Progression
Fallopian Tube Diseases / surgery
Fatal Outcome
Intraoperative Complications / pathology*
Middle Aged
Ovarian Diseases / surgery
Ovarian Neoplasms / pathology*,  surgery
Teratoma / pathology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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