MASSIVE MATURE SOLID TERATOMA OF THE OVARY WITH GLIOMATOSIS PERITONEI

Glial implants on peritoneum and omentum may occur with mature solid t eratoma of the ovary (gliomatosis peritonei). The case of a 17-year-ol d girl is presented, who had a massive solid ovarian teratoma with gli al implants on visceral peritoneum and omentum. The massive size of th e tumour posed difficulty in diagnosis. CT demonstrated a large terato ma. At laparotomy, the seedlings were initially thought to be evidence of malignancy and hysterectomy was offered which was refused by the p arents. Oophorectomy was performed and the beni,on nature of the tumou r and implants was seen on histopathology. It is important to recogniz e the benign nature of glial seedlings in such cases to avoid unnecess ary extensive surgery.