Laparoscopic management of mature cystic teratoma of the ovary with multiple intracystic floating spherules

Abstract

Introduction: A feature of multiple spherical structures floating free in a cystic mass is one of the very rare patterns of mature cystic teratoma.

Case report: A 32-year-old unmarried nulligravida was referred. Image diagnosis showed a large cystic tumor with unusual intracystic multiple floating spherules. Serum tumor marker test showed elevated squamous cell carcinoma antigen. Laparoscopic-assisted left salpingo-oophorectomy was performed. The histopathological diagnosis was mature cystic teratoma of the ovary with marked desquamative keratin formations.

Conclusions: After obtaining pathognomonic findings on diagnostic imaging, laparoscopic management of a rare form of mature cystic teratoma of the ovary with numerous intracystic floating spherules was successfully performed.