Right ovarian serous cystadenocarcinoma and left ovarian mature cystic teratoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Pelvic pain and palpable mass on physical exam.

Patient Data

Age: 30 years
Gender: Female

A 95×66 mm cystic mass with eccentric enhancing partially calcified solid component is noted at right adnexa.

In addition, a 55×48 mm mass with internal fat density and an eccentric Rokitansky nodule is noted at the left adnexa.

A small amount of pelvic free fluid is also observed.

Case Discussion

The patient underwent total abdominal hysterectomy and bilateral salpingo oophorectomy; histopathology evaluation confirmed right ovarian serous cystadenocarcinoma and left ovarian mature cystic teratoma.

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