How to Cite
1.
Coto Chaves C, Jiménez Víquez M, Naranjo Alfaro S. Teratoma: adnexal mass in young women. Rev.méd.sinerg. [Internet]. 2019Jun.1 [cited 2024Jul.22];4(6):31 - 39. Available from: https://revistamedicasinergia.com/index.php/rms/article/view/243
Abstract
Ovarian, uterine tube masses, and adjacent connective tissue tumors, are known as adnexal masses and are a common gynecologic problem. They can be found at any age and there is a wide variety of subtypes. Germ cell tumors are the most common among premenopausal women, specially the mature teratoma. The evaluation goal is to discard surgical emergencies and malignancy. Ultrasound is the radiologic gold standard method to study an adnexal mass. This article is focused on the initial approach to the patient with an adnexal mass and the differentiation between benign and malignant lesions based on the ultrasound findings. If a malignant tumor is suspected or the patient is symptomatic, fertility preserving surgery is recommended.
Keywords
teratoma. ovary. adnexa uteri. dermoid cyst. ovarian neoplasms.
References
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6. Gregory K, Gatie M. Mechanisms Regulating Stemness and Differentiation in Embryonal Carcinoma Cells. Stem Cells International. 2017; ID 3684178. https://doi.org/10.1155/2017/3684178
7. Dan V, Zacharias R, Martins V, Genaro A, et al. Teratoma ovariano imaturo gigante com te-ratoma maduro bilateral: relato do caso. Medicina (Ribeirao Preto). 2016; 49(5): 483-489. https://doi.org/10.11606/issn.2176-7262.v49i5p483-489
8. Cabezas M, Rodríguez E, Rodríguez I, Márquez F, et al. Teratoma ovárico maduro e inma-duro a propósito de un caso. Ginecología y Obstetricia de México. 2017; 85(5), 331-337. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_abstract&pid=S0300-90412017000500331&lng=es&nrm=iso
9. Jorge S, Jones N, Chen L, Hou J, Tergas A, Burke W et al. Characteristics, treatment and out-comes of women with immature ovarian teratoma. Gynecologyc Oncology. 2016; 142(2): 261-266. https://dx.doi.org/10.1016%2Fj.ygyno.2016.05.024
10. Hamada A, Yamaka T, Tokunaga K, Moribata Y, Himoto Y, Kido A, et al. A comprehen-sive review of ovarian teratomas. Electronic Presentation Online System. 2016; C-122.1. http://dx.doi.org/10.1594/ecr2016/C-1221
11. Madrigal A, Rosenkraz B. Teratoma inmaduro(maligno) de ovario. Medicina legal de Costa Rica. 2018; 35(1): 1409-1415. Disponible en: http://www.scielo.sa.cr/pdf/mlcr/v35n1/1409-0015-mlcr-35-01-146.pdf
12. Muto M. Management of an adnexal mass [Internet]. Waltham (MA): UpToDate Inc; 2019 [Updated 2018 Sep 24, cited 2019 March 29]. Available from: https://www.uptodate.com/contents/management-of-an-adnexal-mass
13. Pascual A, Graupera B, Pedrero C, Rodríguez I, Ajossa S, guerrero S, et al. Long term results for expectant management of ultrasonographically diagnosed benign ovarian terato-mas. Obstet-rics and gynecology. 2017; 130(6): p.1244-1250. https://doi.org/10.1097/AOG.0000000000002327
14. Hasdemir P, Guvenal T, Mnekse S, Solmaz U, Kandiloglu A, Koyuncu F, et al. Ovarian Im-mature teratoma detected during pregnancy. Medical Science and discovery. 2016; 3(1): 1-6. http://dx.doi.org/10.17546/msd.39076
15. Sinha A, Ewies A. Ovarian mature cystic teratoma: Challenges of surgical management. In: Coleman R, editor. Obstetrics and Gynecology International. 2016; ID 2390178. http://dx.doi.org/10.1155/2016/2390178
2. Gershenson D. Ovarian germ cell tumors: Pathology, clinical manifestations and diagnosis [In-ternet]. Waltham (MA): UpToDate Inc; 2019 [Updated 2017 Nov 30, cited 2019 March 29]. Available from: https://www.uptodate.com/contents/ovarian-germ-cell-tumors-pathology-clinical-manifestations-and-diagnosis
3. Hoffman M, Hochberg L. Differential diagnosis of the adnexal mass [Internet]. Waltham (MA): UpToDate Inc; 2019 [Updated 2019 March 20, cited 2019 March 29]. Available from: https://www.uptodate.com/contents/differential-diagnosis-of-the-adnexal-mass
4. Gomez M. Ultrasonografía en la identificación de masas anexiales. Revista médica de Costa Rica y Centroamérica. 2016; 73(619): 403-408. Disponible en: http://www.binasss.sa.cr/revistas/rmcc/619/art36.pdf
5. Patel M. Ultrasound Differentiation of benign versus malignant adnexal masses [Internet]. Waltham (MA): UpToDate Inc; 2019 [Updated 2018 Nov 08, cited 2019 March 29]. Available from: https://www.uptodate.com/contents/ultrasound-differentiation-of-benign-versus-malignant-adnexal-masses
6. Gregory K, Gatie M. Mechanisms Regulating Stemness and Differentiation in Embryonal Carcinoma Cells. Stem Cells International. 2017; ID 3684178. https://doi.org/10.1155/2017/3684178
7. Dan V, Zacharias R, Martins V, Genaro A, et al. Teratoma ovariano imaturo gigante com te-ratoma maduro bilateral: relato do caso. Medicina (Ribeirao Preto). 2016; 49(5): 483-489. https://doi.org/10.11606/issn.2176-7262.v49i5p483-489
8. Cabezas M, Rodríguez E, Rodríguez I, Márquez F, et al. Teratoma ovárico maduro e inma-duro a propósito de un caso. Ginecología y Obstetricia de México. 2017; 85(5), 331-337. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_abstract&pid=S0300-90412017000500331&lng=es&nrm=iso
9. Jorge S, Jones N, Chen L, Hou J, Tergas A, Burke W et al. Characteristics, treatment and out-comes of women with immature ovarian teratoma. Gynecologyc Oncology. 2016; 142(2): 261-266. https://dx.doi.org/10.1016%2Fj.ygyno.2016.05.024
10. Hamada A, Yamaka T, Tokunaga K, Moribata Y, Himoto Y, Kido A, et al. A comprehen-sive review of ovarian teratomas. Electronic Presentation Online System. 2016; C-122.1. http://dx.doi.org/10.1594/ecr2016/C-1221
11. Madrigal A, Rosenkraz B. Teratoma inmaduro(maligno) de ovario. Medicina legal de Costa Rica. 2018; 35(1): 1409-1415. Disponible en: http://www.scielo.sa.cr/pdf/mlcr/v35n1/1409-0015-mlcr-35-01-146.pdf
12. Muto M. Management of an adnexal mass [Internet]. Waltham (MA): UpToDate Inc; 2019 [Updated 2018 Sep 24, cited 2019 March 29]. Available from: https://www.uptodate.com/contents/management-of-an-adnexal-mass
13. Pascual A, Graupera B, Pedrero C, Rodríguez I, Ajossa S, guerrero S, et al. Long term results for expectant management of ultrasonographically diagnosed benign ovarian terato-mas. Obstet-rics and gynecology. 2017; 130(6): p.1244-1250. https://doi.org/10.1097/AOG.0000000000002327
14. Hasdemir P, Guvenal T, Mnekse S, Solmaz U, Kandiloglu A, Koyuncu F, et al. Ovarian Im-mature teratoma detected during pregnancy. Medical Science and discovery. 2016; 3(1): 1-6. http://dx.doi.org/10.17546/msd.39076
15. Sinha A, Ewies A. Ovarian mature cystic teratoma: Challenges of surgical management. In: Coleman R, editor. Obstetrics and Gynecology International. 2016; ID 2390178. http://dx.doi.org/10.1155/2016/2390178
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