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Case Reports in Obstetrics and Gynecology
Volume 2013, Article ID 108582, 3 pages
http://dx.doi.org/10.1155/2013/108582
Case Report

Mature Ovarian Teratoma with Carcinoid Tumor in a 28-Year-Old Patient

13rd Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Konstantinoupoleos 49, 54642, Greece
2Laboratory of Histology, Aristotle University of Thessaloniki, 54124 Panemistimioupolis, Greece
35th Surgical Department, Aristotle University of Thessaloniki, 54124 Panemistimioupolis, Greece

Received 31 May 2013; Accepted 8 July 2013

Academic Editors: D. Hochner-Celnikier, E. F. C. Murta, and M. A. Osmanagaoglu

Copyright © 2013 Stamatios Petousis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Coexistence of carcinoid tumor inside a mature cystic teratoma is an extremely rare phenomenon, especially in young women. We present the case of a 28-year-old woman diagnosed with a right ovarian carcinoid and treated uneventfully with conservative surgical approach. Case Report. A 28-year-old woman, gravid 0, parity 0, presented to our department for her annual gynecological examination and Pap smear test. During her examination, a mobile cystic mass was detected in the right lower abdomen. Ultrasound indicated a right ovarian mass 10.5 × 6.3 cm, confirmed by CT scan. Further investigation revealed AFP levels (1539 ng/mL). The ovarian mass was excised by laparoscopy, leaving intact the remaining right ovary. Frozen sections showed a mature cystic teratoma. However, paraffin sections revealed the presence of a small carcinoid within the teratoma’s gastric-type mucosa. The patient was set to a close followup. Nine months postoperatively, ultrasound pelvis imaging and CT scan of the abdomen as well as serum tumor markers have shown no evidence of recurrence disease. Conclusion. Despite the weak evidence, fertility spare surgical approach for women wanting to preserve their genital tract might be a reasonable option.