Journal of Gynecology and Reproductive Health
- ISSN: 2574-2728
Abdou. KB. Kayentao, Ilham. F. Adaweh, Idriss. A. Darar, Abdirahman. A. Nour, Goumaneh. O. Houssein, Zakaria. H. Abdillahi and Youssouf Traore
Ovarian tumors represent 1% of childhood tumors. In children, they are often benign and can recur, but the future fertility preservation is essential. Ovarian teratomas are the most common ovarian germ cell tumors. A bimodal distribution is observed with a first peak in early childhood and a second peak after puberty. During childhood, the location is mainly sacrococcygeal and gonadal in adolescence. These teratomas can be mature and benign: either polytissue containing ectodermal derivatives (hair, teeth, sebum), which are dermoid cysts; or mono-tissue, containing thyroid tissue for example (ovarian goiter). As for immature and malignant teratomas such as endodermal sinus tumors, they secrete alphafeto-protein, while ovarian choriocarcinoma secretes HCG. We report the illustrated observation of a mature ovarian teratoma case in a 13-year-old patient at Djibouti military hospital. The adolescent was suspected of being pregnant by some of her parents and the clinical examination revealed an abdominal-pelvic mass with compression signs. CA125 was very high, alpha-fetoprotein and BHCG negative. Ultrasound and especially CT were in a large ovarian teratoma favor. The surgical procedure was an adnexectomy; anatomy pathology confirmed a mature ovarian teratoma and the sequels were simple.