Abstract

Symptoms; the current is a 25 year old woman was presented with abdominal pain, mass, and fever.
Physical examination revealed a tender abdominal mass and fever.
Investigations; Ultrasound abdomen showed a solid and cystic mass arising from right adnexa. MRI pelvis showed a large dermoid cyst arising from the right ovary, pelvic lymph nodes enlargement and ommental deposits.
Interventions; Total abdominal hysterectomy& bilateral salpingo-oophorectomy, omentectomy, pelvic and para-aortic lymph nodes excision
Histopathology; solid diffuse growth of malignant spindle cells with high number of abnormal mitotic figures and areas of necrosis
Post-Operative period; the patient was given 2 cycles of chemotherapy and she was discharged to come again for 5-6 courses of chemotherapy. Patient was followed up for one year, no recurrence or metastasis noted.
Conclusion: the current case will add to the knowledge of pathologists, gynecologists and oncologists thereby helping in an early diagnosis and better management of sarcomatous transformation in the mature cystic teratoma.

Key words: Ovary, Teratoma; sarcomatous transformation; prognosis