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Tumor Discovery Mature teratoma during pregnancy

potential. In cases where the tumor extensively involves cyst is required. Diagnosis of mature teratoma is confirmed
the ovary, rendering the parenchyma non-viable, through histopathological examination. If a mass is larger,
oophorectomy or salpingo-oophorectomy becomes complications, such as ovarian torsion, rupture, malignant
necessary. 19 transformation, infection, and obstructed labor, may
Surgery during the first trimester is generally avoided occur, and surgical intervention is generally selected for
unless the patient presents with acute symptoms suggestive management if the patient would like to preserve fertility.
of adnexal torsion, in which case urgent intervention In this case, cesarean section was recommended as fetal
is warranted. For asymptomatic cases, a follow-up distress was detected, and no complications were reported
20
ultrasound in the early second trimester is indicated to by or detected in the pregnant patient despite the large
evaluate the persistence of the lesion. When the mass ovarian mass.
appears benign, is smaller than 6 cm, and shows no growth, Acknowledgments
the risk of complications remains low, supporting the use
of an expectant management approach. However, any None.
increase in tumor size or change in appearance may prompt
consideration for surgical treatment. Younger patients, as Funding
4
well as those having bilateral or large dermoid cysts, should None.
be monitored closely. Taken together, treatment decisions
should be individualized, carefully balancing the risks of Conflict of interest
torsion, rupture, or labor obstruction against the potential The author declares no conflicts of interest.
for unnecessary surgical intervention and associated risks
to both the mother and fetus. 21 Author contributions
Women presenting with ovarian cysts or tumors This is a single-authored article.
during pregnancy should receive counseling about the
risk of recurrence, with close ultrasound surveillance Ethics approval and consent to participate
recommended throughout gestation. Those with a prior Patient gave verbal consent before her participation.
history of ovarian tumors should also be counseled
preoperatively on recurrence risks and the potential Consent for publication
implications for fertility. Laparoscopic salpingo-
22
oophorectomy, performed with an endoscopic retrieval bag, Patient consented on the publication of her data.
is considered the standard treatment for post-menopausal Availability of data
and perimenopausal women presenting with a large
teratoma. In contrast, laparoscopic cystectomy may be a Not applicable.
more suitable and conservative option for younger women,
23
preserving ovarian function when feasible. Women References
diagnosed with ovarian cysts or tumors during pregnancy 1. Peterson WF. Malignant degeneration of benign cystic
should be thoroughly counseled and closely monitored to teratomas of the overy; A collective review of the literature.
identify and manage any potential complications. Obstet Gynecol Surv. 1957;12(6):793-830.
This case highlights the importance of a comprehensive doi: 10.1097/00006254-195712000-00001
approach – integrating clinical assessment, laboratory 2. Pantoja E, Noy MA, Axtmayer RW, Colon FE, Pelegrina I.
findings, and diagnostic imaging – while making decisions Ovarian dermoids and their complications. Comprehensive
that prioritize the safety of both the mother and the historical review. Obstet Gynecol Surv. 1975;30(1):1-20.
fetus. Despite the final diagnosis being pathological, it is doi: 10.1097/00006254-197501000-00001
necessary to carefully interpret all parameters to preserve
the pregnancy and ultimately ensure the successful delivery 3. Westhoff C, Pike M, Vessey M. Benign ovarian teratomas:
A population-based case-control study. Br J Cancer.
of a healthy baby. 24
1988;58(1):93-98.
4. Conclusion doi: 10.1038/bjc.1988.171

Mature teratoma is a benign tumor with a good prognosis. 4. Joudar I, El Abbassi I, Khalloufi C, Jalal M, Lamrissi A,
To avoid the missed diagnosis of any rare or synchronous Bouhya S. Mature teratoma during pregnancy: A case
malignancies, a gross examination of sufficient specimens report. J Case Rep Images Obstet Gynecol. 2023;9(1):70-74.
containing both solid and suspicious areas of the ovarian doi: 10.5348/100150Z08IJ2023CR

Volume 4 Issue 3 (2025) 103 doi: 10.36922/TD025120022