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Open Access Case report

Bilateral ovarian teratoma complicated with carcinosarcoma in a 68 year old woman: a case report

S Shanmughapriya14, G SenthilKumar2, K Balakrishnan3, N Vasanthi1, K Vinodhini4 and K Natarajaseenivasan4*

Author Affiliations

1 Department of Biochemistry, School of Life Sciences, Bharathidasan University, Tiruchirappalli, Tamilnadu, India

2 Department of Surgical Oncology, Dr. G. Vishwanathan Hospital, Tiruchirappalli Tamilnadu, India

3 Department of Pathology, K.A.P.Viswanathan Govt Medical College, Tiruchirappalli Tamilnadu, India

4 Medical Microbiology Laboratory, Department of Microbiology, School of Life Sciences, Bharathidasan University, Tiruchirappalli, Tamilnadu, India

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BMC Cancer 2011, 11:218  doi:10.1186/1471-2407-11-218

Published: 3 June 2011

Abstract

Background

Composing of less than 1% of all ovarian cancers, immature teratoma is a malignancy that mainly affects the young, and they present with advanced disease. The treatment of immature teratoma is conservative primary surgery usually involving unilateral salpingo-oophorectomy followed by combination chemotherapy.

Case presentation

Here we present a case of a 68 year old woman with bilateral ovarian teratoma complicated with carcinosarcoma. The patient was diagnosed as FIGO stage IIIC. She underwent neoadjuvant chemotherapy and interval cytoreduction followed by optimal cytoreduction. The post operative management strategies and gynaecological follow up studies revealed no evidence of regional or distant metastasis.

Conclusion

Thus the choice of initial treatment should be decided in a selective fashion depending on various prognostic factors in order to increase the survival of the patients.