In the presence of mature cystic keratoma masses with solid components such as large mature cystic teratoma laparotomy may be appropriate. The laparoscopic approach is generally considered to be the gold standard for the management except for very large cysts. Depending on gestational age, abdominal ultrasonography may be used in addition to TVS because the ovaries may be outside the pelvis later in gestation. It is not uncommon to have tumour left behind.
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Various approaches and procedures were employed; however, laparoscopic approach has become the most popular and widely practiced in the past two decades. Getting enough patients is critical to the success of a trial. Although the TVS appearance of immature teratomas is mature cystic keratoma, the tumors are typically heterogeneous with scattered coarse calcifications and large irregular solid components.
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In this paper, we critically analyze various surgical approaches and techniques used to deal with ovarian mature cystic teratoma. Nonetheless, the laparoscopic approach was significantly associated with longer operating time [ 1417 ] and higher contents spillage rate [ 1416 ]. The chemotherapy doctors use for ovarian teratoma does not usually affect your fertility. Abstract Although ovarian mature cystic teratomas are the commonest adnexal masses occurring in premenopausal women, there are many challenges faced by mature cystic keratoma on deciding upon the best surgical management. Well developed cerebellar tissue.
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