Immature teratoma of the ovary with gliomatosis peritonei. A case report

Gliomatosis peritonei is a rare complication of immature teratoma of the ovary and should not be confused with metastatic ovarian carcinoma. Treatment depends on the histological grading of the gliomatous lesions. All grades, except grade 0, qualify for adjuvant chemotherapy. Repeated laparotomies for cytological sampling and the removal of tumour are essential. A 16-year-old Ovambo nulligravida presenting with gliomatosis peritonei was apparently cured after 5 laparotomies for removal of tumour and 13 courses of combination chemotherapy.