IMR Press / EJGO / Volume 30 / Issue 1 / pii/2009020

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report

Primary malignant melanoma arising in an ovarian cystic teratoma

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1 Department of Womens Health, Elizabeth Garrett Anderson & Obstetric Hospital, Huntley street, London (UK)
Eur. J. Gynaecol. Oncol. 2009, 30(1), 88–89;
Published: 10 February 2009

Cystic ovarian teratomas are common tumours. Malignant melanoma developing in a teratoma, however, is an extremely rare diag­nosis. A 49-year-old woman with a history of weight loss and abdominal distension was referred to UCLH. She underwent laparo­tomy and bilateral salpingo-oophorectomy for a large right ovarian tumour. Histopathology revealed a malignant melanoma and car­cinoid tumour in the right ovarian teratoma and an endometrioid adenocarcinoma in the left ovary. Subsequent vaginal hysterectomy revealed complex atypical hyperplasia in the endometrium. An extraovarian primary maelanoma could not be found. At this time the patient remains alive and well with no indication of recurrence.

Ovarian teratoma
Endometioid adenoccarcinoma
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