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KMID : 0880420080090050458
Korean Journal of Radiology
2008 Volume.9 No. 5 p.458 ~ p.461
CT Images of a Malignant-Transformed Ovarian Mature Cystic Teratoma with Rupture
Wang Po Chin

Yang Tsung Lung
Pan Huay Ben
Abstract
A malignant transformation or a tumor rupture is a rare complication of ovarian mature cystic teratoma (MCT). A tumor rupture in a malignant-transformed MCT has never been reported in the literature. We present the CT images of a 39-year-old woman showing a large, predominantly cystic mass in the lower abdomen, with fat-fluid-level ascites. A contrast-enhanced solid component, with regional discontinuity within the cystic lesion, is also demonstrated. The pathologic diagnosis of the ruptured MCT unveils the malignant transformation (squamous cell carcinoma) and mesenteric carcinomatosis.
KEYWORD
Ovarian cystic teratoma, Malignant transformation, Tumor rupture, Computed tomography (CT)
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