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Saudi Journal of Pathology and Microbiology (SJPM)
Volume-3 | Issue-06 | 172-174
Case Report
Unique Case of Primary Malignant Melanoma arising in an Ovarian Cystic Teratoma: A Diagnostic and Therapeutic Challenge
Dr. Priyanka Anand, Dr. Namrata Sarin
Published : June 30, 2018
DOI : 10.21276/sjpm.2018.3.6.5
Abstract
Mature cystic teratomas comprise of 10-20% of ovarian neoplasms. Malignant transformation in a dermoid cyst occurs in 0.17-2% of cases. Primary ovarian melanoma arising in a dermoid cyst is an extremely rare entity. It must be differentiated from a metastatic melanoma which is more common. A fifty nine year old female presented with lower abdominal pain and heaviness. A right adnexal mass was noted on Computed tomography (CT) scan. Left ovary and uterus were normal. She underwent a right salpingo-oopherectomy. Histopathological examination along with immunohistochemical analysis and clinical correlation serves the diagnostic purpose and surgery with adequate margin clearance plays an important role in management. We report a rare case of primary malignant melanoma arising in a mature cystic teratoma.
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