31-year old P1 with unilateral, 11.5cm large, multilocular, cystic ovarian tumor with solid components up to 4.2cm cointaining feeding vessels in doppler-sonography. CA-125 was negative. The patient desired further future pregnancies.
The patient consented to a laparoscopic adnexectomy.
The speciment was thouroughly examined and diagnosed as an immature teratoma inside the capsule of the ovary FIGO IA, G1.
Second-look laparoscopy was offered to the patient. Peritoneal biopsies, contralateral ovarian biopsy, infragastric omental removal were discussed.
There were no complications.
Uneventful. The patient met with an oncologist and no chemotherapy was needed. Regular control examinations were initiated.