B93.B6.reg - Gene Regulation Case Report Mature Ovarian...

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Gene Regulation
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Case Report Mature Ovarian Cystic Teratoma with a Highly Differentiated Homunculus: A Case Report Naohiko Kuno, 1* Kenji Kadomatsu, 2 Makoto Nakamura, 3 Takahiko Miwa-Fukuchi, 1 Norio Hirabayashi, 4 and Takao Ishizuka 1 CASE PRESENTATION A 25-year-old virginal Japanese woman was referred to our hospital for a possible ovarian tumor. A rectal examination revealed a large mobile tumor in her pelvic cavity. Values for CA125, CA19-9, and SCC were 189 U/ml, 6 U/ml, and 17 ng/ml (normal values: _35, _37, and _1.5), respectively. X-radiography showed a hemispheric ossi.- cation in the upper right region of the pelvic cavity (Fig. 1a), and abdominal ultrasonography revealed a 60-mmdiameter, cystic, echo-free space within the highly echoic tumor but in contact with the capsule, suggesting liquid pooling (Fig. 1b). A watery cyst .lled with fat was con- .rmed by magnetic resonance imaging (MRI) and computed tomography (CT) (Fig. 1c and d). It was also clari.ed that the hemispheric ossi.cation was located adjacent to the liquid cyst. With these observations, we preoperatively diagnosed the tumor to be a mature cystic teratoma of the ovary
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