ISSN: 2474-9230
Authors: Yufen Y* and Haimei L
Purpose: To investigate the clinicopathological characteristics of mature teratoma with pregnancy. Methods: Retrospectively analysis of 759 cases mature teratoma was done from the first half of 2000 to the second half of 2013 in Anyang Tumor Hospital. The clinicopathological characteristics of mature teratoma with pregnancy were reviewed retrospectively Results: All patients have a history of pregnancy. Patient ages range from 25 to 42. Two cases were tubal pregnancy, and the rest were intrauterine pregnancy. One case is an outpatient case. 4 cases had atypical symptom. Adnexal masses were found in 4 cases during pregnancy examination. Radiography showed adnexal cystic solid mass with or without gestational sac. Accessory excision of affected side was performed with or without complete curettage of uterine cavity. Gestational age varied from 4 to 20 weeks. Pathological results show that ovarian cystic mass contains hair and oil. All the endoderm tissues in the tumor are differentiated and mature. There were a lot of clots and some villi in the removed tissues of fallopian tube or uterine cavity. Maximum diameter of 5 cases was greater than or equal to 10 cm. Conclusions: Teratoma with pregnancy is common for young women less than 40 years. Selective surgery is recommended to patients with early pregnancy for maternal and fetal safety. After 12 weeks of gestation, laparoscopic operation was performed. Teratomas are the most prone to torsion and acute abdomen, so in principle, laparoscopic surgery should be used in pregnancy with teratomas.
Keywords: Clinicopathological Characteristics; Mature Teratoma; Pregnancy; Surgery
