P138A case of bilateral mature cystic teratoma with calcified elements in an old age postmenopausal woman

Abstract

BackgroundDermoid cysts are interesting tumours in which all body tissues may be represented. Neither presence of calcified elements, nor postmenopausal age, nor bilaterality are usual for them. We present here, a case of postmenopausal woman in whom bilateral dermoid cysts were found with calcified elements. Ultrasonographic features, clinical presentation, differential diagnosis and treatment modalities of this rare case are presented and discussed.Case70‐year‐old woman gravida 0 para 0 was referred to our Department complaining of postmenopausal bleeding for the last two months. She was postmenopausal for the last 27 years during which she had never been treated with estrogen replacement therapy. On a gynaecologic examination, bilateral adnexal mass found. Ultrasonographic scanning demonstrated a normal sized anteverted uterus with an endometrial thickness of 4 mm with an hypoechoic ring around it. Transverse ultrasonogram showed bilateral adnexal highly reflective echogenic well circumscribed mass with solid and cystic components. Endometrial biopsy showed granulomatous endometritis. At surgery, a bilateral ovarian tumour measuring 4 × 5 cm in diameter was seen. A pathologic examination confirmed bilateral dermoid cysts with no malignant component. Peritoneal washing was also negative. Total abdominal histerectomy with bilateral salphingooopherectomy was performed. On discharging from Hospital, estrogen replacement therapy was given.