Squamous Cell Carcinoma in a Newly Diagnosed Ovarian Dermoid Cyst

Crowe V, Wu Y
2018 OMICS Journal of Radiology  
This case report details the clinical features, radiological investigations and imaging findings in the initial presentation of a female patient with a suspected pelvic mass. A discussion of the imaging methods employed in the diagnosis of an adnexal mass follows, with a focus on ovarian dermoid cysts and the features associated with benign and malignant disease. Case Report This is the case of a 49-year-old female who presented to the General Practitioner with symptoms of abdominal fullness,
more » ... dominal fullness, constipation, urinary frequency and intermittent nausea over the preceding month. A history of unintentional weight loss, over a 6-month period, was elicited. She was premenopausal with regular, unchanged menstrual cycles and was gravida 2, para 2. There was no relevant past medical, social or family history and she was not taking any regular medication. On examination, an abdominopelvic mass was palpable, extending to the level of the umbilicus. An ultrasound examination revealed the presence of a 17 × 11 × 16 cm complex left adnexal mass. Hyperechoic contents were seen layering above a cystic component, in keeping with a fat-fluid interface. The mass contained two 4 cm, discreet, hyperechoic components that were highly reflective, suggesting fat content (Figure 1 ). The appearances were felt to be most in keeping with a dermoid cyst.
doi:10.4172/2167-7964.1000294 fatcat:zda5dlz5xrehralenzir3ni26q