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
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.