Abstract
Mature cystic teratoma of ovary accounts for nearly one-fifth of all benign germ cell tumour of the ovary. Malignant transformation of such tumours is rare, and they are usually present in a post-menopausal women with pain and abdominal distension. The malignant tumor may involve adjoining pelvic organs leading to a dilemma about the primary organ of origin. However, a careful clinical, radiological and pathological analysis can lead us to the diagnosis. Complete tumor resection along with hysterectomy and B/L salpingo oopherectomy and resection of the adjoining viscera, if involved, is the preferred surgery. Adjuvant chemotherapy for advanced tumors has been shown to improve survival.
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