Coexistence Of Squamous Cell CarcinomaWith Dermoid Cyst Of Ovary:A Case Report

Benign cystic teratoma (dermoid cyst) contains tissues that develop from ectoderm, endoderm and mesoderm in an organized manner. Cystic teratoma, a tumor arising in young women are usually benign, but rarely may be associated with germ cell tumor or exhibit secondary malignancy after initial growth. Primary squamous cell carcinoma (SCC) of the ovary is extremely rare1. Malignant transformation occurring in mature cystic teratoma (MCT) is again rare and found to be 1-2% of all mature cystic teratomas. Prognosis of patients with squamous cell carcinoma of the ovary are quite poor. The de novo development of a primary squamous carcinoma, in an otherwise healthy ovary is an extremely rare occurrence2. Preoperative assessment of the risk of malignancy is extremely difficult but very important for proper treatment planning and management. We report one such rare case of primary ovarian squamous cell carcinoma arising in a cystic teratoma, encountered in a peri-menopausal woman which seems to be worthy of review. Also a brief review of literature with emphasis on factors which help in preoperative risk assessment is presented.