또한 임신중에 발견된 성숙기형낭종의 경우 바로 제거를 해야하는지 여부에 대해 논란이 많은데, 6cm 이상이면 제거하는 것이 좋은 것으로 알려져 있습니다. 임신중에는 거대 낭종에 의한 난소염전이나 낭종 파열로 심한 화학적 복막염을 일으킬 수 있기 때문입니다. 임신중에도 복강경을 이용해서 쉽게 제거가 가능하므로 임신1삼분기를 지난 시점에서 바로 수술하는 것이 권고되고 있습니다.
난소의 기형종은 반드시 수술로 제거해 주어야 합니다. 다른 어떤 치료도 의미가 없습니다!!
Dermoid cyst
A
dermoid cyst is a cystic teratoma that contains
developmentally mature skin complete with
hair
follicles and sweat
glands, sometimes luxuriant clumps of long hair, and often pockets of
sebum, blood, fat, bone, nails, teeth, eyes, cartilage, and thyroid tissue. Because it
contains mature tissue, a dermoid cyst is almost always benign. The rare
malignant dermoid cyst usually
develops squamous cell
carcinoma in adults; in babies and children it usually develops
endodermal sinus
tumor.
Some authors use the term dermoid cyst as a frank synonym for teratoma, meaning any teratoma, regardless of its histology or location. Others use it to mean any mature, cystic teratoma. These uses appear to be most common in gynecology and dermatology.
Dermoid cysts can recur if not completely excised. Sometimes, complete excision is not practical if in a dumbbell configuration where the cyst extends through a suture line in the skull.
If the dermoid cysts appear on the medial aspect, the possibility of an encephalocele becomes greater and should be considered among the differential diagnosis.
The association of dermoid cysts with pregnancy has been increasingly reported. They usually present the dilemma of weighing the risks of surgery and anesthesia versus the risks of untreated adnexal mass. Most references state that it is more feasible to treat bilateral dermoid cysts of the ovaries discovered during pregnancy if they grow beyond 6 cm in diameter. This is usually performed through laparotomy or very carefully through laparoscopy and should preferably be done in the second trimester.[1]
From http://en.wikipedia.org/wiki/Dermoid_cyst
Some authors use the term dermoid cyst as a frank synonym for teratoma, meaning any teratoma, regardless of its histology or location. Others use it to mean any mature, cystic teratoma. These uses appear to be most common in gynecology and dermatology.
Location
A dermoid cyst can occur wherever a teratoma can occur.Periorbital dermoid cysts
Dermoid cysts can appear in young children, often near the lateral aspect of the eyebrow (right part of the right eyebrow or left part of the left eyebrow). It often has a rubbery feel. These are sometimes watched and sometimes excised. An inflammatory reaction can occur if the dermoid cyst is disrupted.Dermoid cysts can recur if not completely excised. Sometimes, complete excision is not practical if in a dumbbell configuration where the cyst extends through a suture line in the skull.
If the dermoid cysts appear on the medial aspect, the possibility of an encephalocele becomes greater and should be considered among the differential diagnosis.
Treatment
Treatment for dermoid cyst is complete surgical removal, preferably in one piece and without any spillage of cyst contents. Marsupialization, a surgical technique often used to treat pilonidal cyst, is inappropriate for dermoid cyst due to the risk of malignancy.The association of dermoid cysts with pregnancy has been increasingly reported. They usually present the dilemma of weighing the risks of surgery and anesthesia versus the risks of untreated adnexal mass. Most references state that it is more feasible to treat bilateral dermoid cysts of the ovaries discovered during pregnancy if they grow beyond 6 cm in diameter. This is usually performed through laparotomy or very carefully through laparoscopy and should preferably be done in the second trimester.[1]
Differential diagnosis
A small dermoid cyst on the head (skull sutures, and midline: sinus, nose, palate, tongue, under the tongue, etc.) or the coccyx can be difficult to distinguish from a pilonidal cyst. This is partly because both can be full of hair. A pilonidal cyst is a pilonidal sinus that is obstructed. Any teratoma near the body surface may develop a sinus or a fistula, or even a cluster of these. Such is the case of Canadian Football League linebacker Tyrone Jones, whose teratoma was discovered when he blew a tooth out of his nose.[2]From http://en.wikipedia.org/wiki/Dermoid_cyst
