Ovarian teratoma with predominant hemangiomatous component in early childhood

• Main Authors: Pongsuvareeyakul T., Settakorn J., Khorana J., Khunamornpong S.
• Format: Article
• Published: Elsevier USA 2015
• Subjects: Pediatrics, Perinatology and Child Health; Obstetrics and Gynecology
• Online Access: http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84920647777&origin=inward; http://cmuir.cmu.ac.th/handle/6653943832/38361
• Institution: Chiang Mai University

© 2015 North American Society for Pediatric and Adolescent Gynecology. Background: Ovarian teratoma with predominant hemangiomatous component in pediatric patients is very rare and its presentation may mimic that of malignancy. Case: A 2-year-old girl presented with proptosis of the right eye. A right ovarian mass was detected on the physical examination. The right orbital lesion was consistent with venolymphatic-type vascular malformation on magnetic resonance imaging. The abdominal computed tomographic scan revealed a solid ovarian mass that raised a suspicion for malignancy. A 5.5-cm right ovarian solid hemorrhagic mass was resected. Microscopically, the mass was almost exclusively composed of variable-sized blood vessels, with few microscopic mature teratomatous foci. Summary and Conclusion: Hemangiomatous lesion of the ovary may have a presentation mimicking a malignant neoplasm, and may be associated with multiple vascular lesions.