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      Squamous cell carcinoma arising from mature cystic teratoma of the ovary: a challenging question for gynecologic oncologists

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      Critical Reviews in Oncology/Hematology
      Elsevier BV

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          Abstract

          Mature cystic teratomas of the ovary have an incidence of 1.2-14.2 cases per 100.000 people per year. Malignant transformation occurs in approximately 2% of the cases, and usually consists of squamous cell carcinoma. The preoperative detection is difficult and the diagnostic accuracy of ultrasound, magnetic resonance imaging, and computed tomography is debated. The diagnosis is frequently made in the operating room or on final histological examination. Standard treatment consists of bilateral salpingo-oophorectomy, total hysterectomy and comprehensive surgical staging in early disease and optimal cytoreductive surgery in advanced disease. Paclitaxel/carboplatin- based chemotherapy is the most used adjuvant treatment, whereas more aggressive regimens can be adopted in patients with high tumor burden or recurrent disease. The efficacy of radiotherapy is still unproven. The prognosis is poor when the tumor has spread beyond the ovary. There are few information to provide commonly accepted guidelines for this malignancy.

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          Author and article information

          Journal
          Critical Reviews in Oncology/Hematology
          Critical Reviews in Oncology/Hematology
          Elsevier BV
          10408428
          November 2018
          November 2018
          Article
          10.1016/j.critrevonc.2018.10.005
          30661663
          30f710c7-cef4-408a-a0f9-d76beff93526
          © 2018

          https://www.elsevier.com/tdm/userlicense/1.0/

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