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Sebaceous Carcinoma Arising in Mature Cystic Teratoma of Ovary

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An Hyo-Jeong, Á¤¿ëÇÑ, À±Çý°æ, Á¤¼öÁø,
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 ( An Hyo-Jeong ) 
Inje University Busan Paik Hospital Department of Pathology

Á¤¿ëÇÑ ( Jung Yong-Han ) 
Inje University Busan Paik Hospital Department of Pathology
À±Çý°æ ( Yoon Hye-Kyoung ) 
Inje University Busan Paik Hospital Department of Pathology
Á¤¼öÁø ( Jung Soo-Jin ) 
Inje University Busan Paik Hospital Department of Pathology

Abstract


Roughly 1% of mature cystic teratomas undergo malignant transformation. In particular, cutaneous- type adnexal neoplasms may occur in mature cystic teratomas. Sebaceous carcinomas, which arise from mature cystic teratomas, have rarely been observed, with only seven cases previously reported. Here, we present a case of a 69-year-old female who had pelvic pain for two weeks and who subsequently underwent bilateral salpingo-oophorectomy and hysterectomy. Her left ovary showed a unilocular cyst, measuring 22.0 cm in diameter, filled with sebaceous material and a few hairs. A luminally-protruding solid mass measuring 4.0 cm in diameter was also noted. Microscopic findings revealed lobular or diffusely arranged basophilic, atypical sebaceous cells connected to a typical mature cystic teratoma. Tumor cells demonstrated positive immunoreactivity for high molecular weight cytokeratin, cytokeratin 7, cytokeratin 19, epithelial membrane antigen, and carcinoembryonic antigen. Here, we present a case of sebaceous carcinoma arising from a mature cystic teratoma along with a review of previously published reports.

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Sebaceous carcinoma; Sebaceous adenoma; Mature cystic teratoma; Ovary

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