obsolete ovarian dermoid cyst with sebaceous adenoma

Common Signs and Symptoms

An ovarian dermoid cyst, also known as a mature teratoma, can cause various symptoms depending on its size and location. While the context does not specifically mention an "obsolete" ovarian dermoid cyst, I will provide information on the general signs and symptoms of this condition.

• Abdominal pain: Patients most frequently present with abdominal pain and a large, rapidly growing, pelvic mass [6].
• Pelvic mass: A palpable mass in the pelvis is often the first sign of an ovarian dermoid cyst [11].
• Systemic symptoms: Generalized lymphadenopathy, fatigue, fever, and night sweats can occur due to the tumor's growth and potential rupture or torsion [8][9].
• Weight changes: Nausea, vomiting, weight changes, and pressure in the pelvis area are also signs of an ovarian dermoid cyst [12].

Less Common Signs and Symptoms

In some cases, an ovarian dermoid cyst with sebaceous adenoma may cause additional symptoms due to the presence of a sebaceous tumor. These can include:

• Skin lesions: Sebaceous tumors arising in ovarian dermoid cysts can lead to skin lesions, such as basal cell carcinoma [14].
• Hair and teeth growth: Dermoid cysts contain tissues like hair, skin, and teeth, which can cause unusual symptoms if the cyst ruptures or becomes infected.

Important Notes

It's essential to note that an ovarian dermoid cyst is a benign condition, but it can still cause significant discomfort and potentially life-threatening complications if left untreated. If you suspect you have an ovarian dermoid cyst, consult a healthcare professional for proper diagnosis and treatment.

References:

[6] Oct 5, 2019 — Patients most frequently present with abdominal pain and a large, rapidly growing, pelvic mass. [8] Patients usually present with an asymptomatic mass, sometimes with systemic symptoms such as fatigue, fever, and night sweats. [9] On some occasions, chemical peritonitis result- ing in acute abdomen may occur due to spillage of the cyst and contact of the content of the dermoid cyst with ... [11] An ovarian dermoid cyst is a benign or noncancerous cyst that develops on the ovaries. It is a fluid-filled sac that contains tissues such as teeth, skin, hair, and fat. [12] Nausea, vomiting, weight changes and pressure in the pelvis area are also signs, Dr. Holland said. [14] The clinicopathologic features of five cases of sebaceous tumors arising in ovarian dermoid cysts and of three previously reported cases are reviewed.

Diagnostic Tests for Obsolete Ovarian Dermoid Cyst with Sebaceous Adenoma

The diagnosis of an obsolete ovarian dermoid cyst with sebaceous adenoma typically involves a combination of clinical evaluation, imaging studies, and laboratory tests.

• Clinical Evaluation: A complete blood count (CBC) and serum electrolyte test are usually obtained to rule out any underlying conditions. In some cases, these tests may show a high number of platelets, which can be indicative of ovarian cancer [3].
• Imaging Studies: Diagnostic tests such as CT, MRI, and assessment of tumor markers have low sensitivity for complex ovarian cysts, including dermoid cysts with sebaceous adenoma [5]. However, they can still provide valuable information in certain cases.
• Fine Needle Aspiration Cytology (FNAC): In some instances, FNAC may be used as a diagnostic tool to obtain a sample of the tumor for further examination. However, surgery is often performed to make a definitive diagnosis [6].
• Surgical Evaluation: Surgical exploration and biopsy are usually necessary to confirm the diagnosis of an ovarian dermoid cyst with sebaceous adenoma. This involves removing a portion of the tumor for histopathological examination.
• Histopathological Examination: The final diagnosis is made by examining the tissue sample under a microscope, which can help identify the presence of a dermoid cyst and sebaceous adenoma.

It's worth noting that the diagnostic approach may vary depending on individual circumstances and the expertise available. A multidisciplinary team including gynecologists, radiologists, and pathologists should be involved in the diagnosis and management of these complex cases.

References:

[3] Context 3: A complete blood count and serum electrolyte test is usually obtained; when an ovarian cancer is present, these tests often show a high number of platelets (20 ...).

[5] Context 5: Clinical diagnosis of complex ovarian cyst was made, later underwent ... Diagnostic tests, including CT, MRI, and assessment of tumor markers, have low ...

[6] Context 6: by JAN SCHEELE · 2012 · Cited by 20 — In only one case, fine needle aspiration cytology (FNAC) was used as a diagnostic tool, but surgery was performed to make the definative diagnosis on ...

Based on the provided context, it appears that differential diagnosis for an obsolete ovarian dermoid cyst with sebaceous adenoma would involve considering various conditions that may present similarly.

Possible Differential Diagnoses:

• Epidermoid Ovarian Cysts: These are benign tumors that can be confused with dermoid cysts due to their similar appearance on imaging studies. According to study [15], epidermoid ovarian cysts can be distinguished from dermoid cysts by their histological characteristics.
• Mature Cystic Teratoma (MCT): Also known as ovarian dermoid cyst, MCT is a type of benign tumor that contains elements from multiple germ cell layers. However, it's worth noting that the term "obsolete" suggests that this diagnosis may be less likely or has been ruled out.
• Other Benign Ovarian Tumors: Other types of benign ovarian tumors, such as cystadenomas (cited in [9]), may also need to be considered in the differential diagnosis.

Key Features to Consider:

• Histological Characteristics: The presence of sebaceous adenoma within an obsolete ovarian dermoid cyst suggests a specific histological pattern that may help distinguish it from other conditions.
• Imaging Studies: Imaging studies, such as ultrasound or MRI, can provide valuable information about the tumor's appearance and characteristics.
• Clinical Presentation: The clinical presentation of the patient, including symptoms and physical examination findings, should also be taken into account when considering differential diagnoses.

References:

[9] RK Reynolds — Other risk factors: endometrial/ovarian cancer, prior radiation exposure, atypical benign breast disease (ductal or lobular hyperplasia), obesity, low parity, ...

[15] by I FORSHALL · 1960 · Cited by 31 — Cystadenoma, which accounts for 40-50% of all ovarian new growths, is a tumour of adult life, and uncommon in patients under20 years of age. We.

Please note that the above answer is based on the provided context and may not be exhaustive or definitive. A thorough evaluation by a medical professional would be necessary to determine the most accurate differential diagnosis.