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Ovarian teratoma with predominant hemangiomatous component in early childhood
Tip Pongsuvareeyakul1, Jongkolnee Settakorn1, Jiraporn Khorana2
1Department of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Background:
Ovarian teratoma with predominant hemangiomatous component in pediatric patients is very rare and its presentation may mimic that of malignancy.
Case:
A 2-year-old girl presented with proptosis of the right eye. A right ovarian mass was detected on the physical examination. The right orbital lesion was consistent with venolymphatic-type vascular malformation on magnetic resonance imaging. The abdominal computed tomographic scan revealed a solid ovarian mass that raised a suspicion for malignancy. A 5.5-cm right ovarian solid hemorrhagic mass was resected. Microscopically, the mass was almost exclusively composed of variable-sized blood vessels, with few microscopic mature teratomatous foci.
Summary And Conclusion:
Hemangiomatous lesion of the ovary may have a presentation mimicking a malignant neoplasm, and may be associated with multiple vascular lesions.
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