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. 2024 Nov 3;4(6):819-824.
doi: 10.21873/cdp.10402. eCollection 2024 Nov-Dec.

Bilateral Dermoid Ovarian Cysts in a Young Woman - A Case Report and Literature Review

Sravya Pinnamaneni  1 , Sunayana Sayani  1 , Premsai Chilakuluri  1   2 , Stergios Boussios  2   3   4   5   6
Affiliations

Bilateral Dermoid Ovarian Cysts in a Young Woman - A Case Report and Literature Review

Sravya Pinnamaneni et al. Cancer Diagn Progn. .

Abstract

Background/aim: Ovarian tumors are a common type of neoplasm in women, with mature cystic teratomas being the most frequent variant. These tumors occur bilaterally in approximately 10% of cases. However, bilateral and multiple occurrences are rarely reported.

Case report: A 22-year-old nulliparous woman presented with amenorrhea and sudden, generalized, dull lower abdominal pain. Diagnostic imaging, including ultrasound and computed tomography (CT) scans, revealed large solid-cystic lesions in both ovaries, with internal hyperechoic foci consistent with fat and calcification, along with thin internal septations. A laparoscopic cystectomy was successfully performed, preserving ovarian function. Histopathological examination confirmed the presence of stratified keratinized squamous epithelium, sebaceous glands, hair follicles, mature adipose tissue, blood vessels, and lymphatic vessels within the resected cysts, with no evidence of malignancy.

Conclusion: This unique case provides valuable insights into the understanding and management of bilateral dermoid cysts, highlighting the importance of preserving ovarian function in young women.

Keywords: Mature cystic ovarian teratoma; bilateral dermoid cyst; dermoid cysts; histopathology; laparoscopic cystectomy.

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Conflict of interest statement

The Authors declare no conflicts of interest in relation to this study.

Figures

Figure 1
Figure 1
Pelvic ultrasound – Blue arrow denote ovary and white arrow denote ovarian mass.
Figure 2
Figure 2
Imaging of the pelvic region using ultrasound – Arrows point out the ovary and a mass in the ovary.
Figure 3
Figure 3
Hematoxylin and eosin-stained section (10×). A) Stratified keratinized squamous epithelium. B) Sebaceous glands. C) Blood vessel. D) Mature adipose tissue.
See this image and copyright information in PMC

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