J Korean Med Sci.  2004 Jun;19(3):474-476. 10.3346/jkms.2004.19.3.474.

Two Dermoid Cysts Developing in An Accessory Ovary and An Eutopic Ovary

• Lim MC
• Park SJ
• Kim SW
• Lee BY
• Lim JW
• Lee JH
• Huh CY

• KMID: 1786832
• DOI: http://doi.org/10.3346/jkms.2004.19.3.474

Abstract

Accessory ovary is a rare gynecologic condition, and tumors arising in accessory ovaries are extremely rare. Accessory ovary may result from separation of migrating ovaries during embryogenesis and injuries such as inflammation and operation on normal ovary. Congenital malformations, most frequently malformations of the genitourinary organ, are seen in connection with the accessory ovary. We experienced the first case of two dermoid cysts developing in an accessory ovary located in the left infundibulopelvic ligament and another in the eutopic ovary at the same side concurrently. Here, we present this extremely rare case with a review of the literature.

Keyword

Dermoid Cyst; Ovarian Neoplasms; Sex Organ, Accessory; Genitalia

MeSH Terms

Adult
Dermoid Cyst/*diagnosis/pathology
Female
Human
Ovarian Cysts/*diagnosis/pathology
Ovarian Diseases/congenital/*diagnosis
Ovary/abnormalities/*pathology
Tomography, X-Ray Computed

Figure

• 

  Fig. 1 Post-contrast helical CT scan shows a cystic mass with fat attenuation (short arrow). Another small, fatty mass with foci of calcification is noted at the left posterior aspect of this mass (long arrow). Normal appearing right ovary is noted (arrow heads).

• 

  Fig. 2 Photomicrography shows mature thyroid tissue, repiratory epithelium and adipose tissue in cyst wall from accessory ovary (H&E, ×100).

Reference

1. Vendeland LL, Shehadeh L. Incidental finding of an accessory ovary in a 16-yr-old at laparoscopy. J Reprod Med. 2000. 45:435–438.

2. Andrade LA, Gentilli AL, Polli G. Sclerosing stromal tumor in an accessory ovary. Gynecol Oncol. 2001. 81:318–319.

3. Lachman MF, Berman MM. The ectopic ovary: A case report and review of the literature. Arch Pathol Lab Med. 1991. 115:233–235.

4. Roth LM, Davis MM, Sutton GP. Steroid cell tumor of the broad ligament arising in an accessory ovary. Arch Pathol Lab Med. 1996. 120:405–409.

5. Schultze H, Fenger C. Accessory ovary: Case report. Acta Obstet Gynecol Scand. 1986. 65:503–504.

6. Andrade LA, Gentilli AL, Polli G. Sclerosing stromal tumor in an accessory ovary. Gynecol Oncol. 2001. 81:318–319.

7. Kosasa TS, Griffiths CT, Shane JM, Leventhal JM, Naftolin F. Diagnosis of a supernumerary ovary with human chorionic gonadotropin. Obstet Gynecol. 1976. 47:236–237.

8. Warton LR. Two cases of supernumerary ovary and one accesssory ovary, with an analysis of previously reported cases. Am J Obstet Gynecol. 1959. 78:1101.

9. Dillon WP, Dewey M. A case of accessory ovary. Obstet Gynecol. 1981. 58:660–661.

10. Printz JL, Choate JW, Townes PL, Harper RC. The embryology of supernumerary ovaries. Obstet Gynecol. 1973. 41:246–252.

11. Heller DS, Harpaz N, Breakstone B. Neoplasm arising in ectopic ovaries: A case of Brenner tumor in an accssory ovary. Int J Gynecol Pathol. 1990. 9:185–189.

12. Cruikshank SH, Van Drie DM. Supernumerary ovaries: update and review. Obstet Gynecol. 1982. 60:126–129.

13. Granat M, Evron S, Navot D. Pregnancy in heterotopic fallopian tube and unilateral ovarian hyperstimulation.: case report. Acta Obstet Gynecol Scand. 1981. 60:215–217.

14. Kosasa TS, Griffiths CT, Shane JM, Leventhal JM, Naftolin F. Diagnosis of a supernumerary ovary with human chorionic gonadotropin. Obstet Gynecol. 1976. 47:236–237.

15. Eum ST, Kang SS, Jeon HW, Jee BJ, Lee DW, Chung JE, Chung KS. A case of separated cystic teratoma of the omentum by torsion. Korean J Obstet Gynecol. 1998. 41:2511–2514.

16. Bezuidenhout J, Schneider JW, Hugo F, Wessels G. Teratomas in infancy and childhood at Tygerberg Hospital, South Africa, 1973 to 1992. Arch Pathol Lab Med. 1997. 121:499–502.

17. Blaustein A, Kurman RJ. Blaustein's pathology of the female genital tract. 1994. 4th ed. New York: Springer-Verlag;1280.

18. Seo JY, Kim WG, Kim YO. A case of adenocarcinoma arising in mature cystic teratoma of the ovary. Korean J Obstet Gynecol. 2001. 44:2161–2164.

19. Zorlu CG, Kuscu E, Soysal ME, Caglar T, Aydogdu T, Cobanoglu O, Alaybeyoglu T, Gokmen O. Malignant degeneration of mature cystic teratomas. Aust N Z J Obstet Gynaecol. 1996. 36:221–222.

20. Richardson G, Robertson DI, O'Connor ME, Nation JG, Stuart GC. Malignant transformation occurring in mature cystic teratomas of the ovary. Can J Surg. 1990. 33:499–503.

21. Comerci JT Jr, Licciardi F, Bergh PA, Gregori C, Breen JL. Mature cystic teratoma: a clinicopathologic evaluation of 517 cases and review of the literature. Obstet Gynecol. 1994. 84:22–28.

22. Templeman CL, Fallat ME, Lam AM, Perlman SE, Hertweck SP, O'Connor DM. Managing mature cystic teratomas of the ovary. Obstet Gynecol Surv. 2000. 55:738–745.