Dermoid cyst - ovary

Case contributed by Fateme Hosseinabadi
Diagnosis almost certain

Presentation

Chronic pelvic pain

Patient Data

Age: 20 years
Gender: Female
ct

Large complex cystic mass with fat/fluid level and calcification occupying left adnexal region .

Case Discussion

Mature cystic teratomas are referred to as dermoid cysts. Dermoids derived from more than one germ layer, and they can include hair, fat, muscle, teeth, skin, endocrine tissue. Fat/fluid level is diagnostic and found in 12% of ovarian dermoid. Rokitansky nodule or dermoid nipple is found in 81% of cases. 8-25% of ovarian dermoids are bilateral.

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