Right Ovarian Mature Teratoma

Q: My Wife’s age is 33 years and she had got an abdominal pain. She had a CAT X RAY and an UltraSound –
Below is doctor’s report – what do you suggest us-
Liver is normal in size, shape and echotexture. No focal mass lesion seen. No IHBR dilatation seen.
Gallbladder is well distended with normal wall thickness and an echo free lumen.
Portal vein and C.B.D. are normal in course and caliber.
Pancreas is normal in size and echotexture.
Retroperitoneum is free from any significant lymphadenopathy.
Spleen is normal in size and echotexture.
Both Kidneys are normal in position, size and shape. Cortico-medullary differentiation is well maintained. Bilateral pelvicalyceal systems are not dilated. There is no evidence of calculus on either side.
Right kidney measures 10.4 x 3.9 cm.
Left kidney measures 10.5 x 4.5 cm.
Urinary bladder is normal in outline and distensibility. Wall thickness is normal. Lumen is echofree.
Uterus is normal in size, anteverted in position measuring 80 x 56 x 50 mm.
Myometrial echotexture is normal with no focal mass lesion.
Endometrial thickness is 7.9 mm.
Left ovary is normal in size and echotexture.
There is a large SOL noted in the right adnexa measuring 11 x 9 cm in size with area of internal echoes and hyper-echogenecities. No flow noted within the lesion.
No free fluid seen in the Cul-de-sac.
Opinion : Features are strongly suggestive of right ovarian mature teratoma. Please correlate clinically.
-By Rahul Jha

Reply:

A mature teratoma is a benign tumor (or a growth) which develops from germ cells present in the ovary.

They are also called dermoid cysts. The growth has varied types of cells like hair, tooth, and other tissues in it.

Your wife has such a cyst in her ovary. Treatment of choice in such cases is removal of the cyst by surgery or laproscopy.

Why Do We Need to Remove a Dermoid Cyst?

These cysts have tendencies to complicate. It may cause the ovary to get twisted due to its mass. This twisting of the ovary may obstruct its blood supply and damage it.

Dermoid cysts may also rupture, leading to spillage of its greasy contents into the pelvic cavity. This may lead to infections, or adhesions there.

Rarely, though, these cysts may turn cancerous at a point.

Take Care,

Buddy M.D.

Medical Advice (Q&As) on “Mature Teratoma in the Right Adnexa

    1. Buddy M.D. Post author

      Yes you may, but be gentle. There is a risk of ovarian torsion (twisting) on any aggressive movement.

      Also, she should avoid lifting heavy weights and too much of physical strain.

      Reply
  1. Riya

    Hello Sir, please give me a suggestion. Last two month I am trying for a pregnancy and monthly period day is 24. Is there any problem in my USG report. My ultrasound report is-
    uterus is A.V.A.F normal size shape and echo pattern
    Left adenexa appear normal
    Right adenexa appear enlarged(approx 36*34)
    Both ovaries appear normal
    Endometrial thickness of approx 13mm
    Inference
    Thickened endometrium
    Right adenexa enlarged
    Advice
    If amenorrhea persists
    Repeat USG after 7 days
    This is my report sir.

    Reply
      1. Riya

        Nothing yet sir, doctor told me for USG again after seven days because on my 1st USG time, doctors ask me about period time and asked is there any chance for pregnancy. Then I said yes, I am looking for conception. Then he suggested me USG again after 7 days. And yes sir, I am suffering from thyroid. Also my thyroid report is 5.23.

        Reply
        1. Buddy M.D. Post author

          Your U/S shows hypertrophy (overgrowth) of the inner most uterine layer. This occurs normally around menses, or abnormally in other disease states.

          That is why your doctor requires to do another U/S, when you are not around the menses. If the hypertrophy is still there, it may be due to some disease process. Further investigations would be required.

          Reply