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Obstetrics & Gynecology 1974;43:915-920
© 1974 by The American College of Obstetricians and Gynecologists
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Peritoneal Gliomatosis Produced by Ovarian Teratomas

FRANCISCO F. NOGALES, JR, MD and HORACIO A. OLIVA, MD

Gynecoiogy Department, Universidad Complutense, Madrid and the Pathology Department, Fundacion Jimenez Diaz, Universidad Autonoma, Madrid.

Two cases of ovarian teratoma with mature glial implants, occurring at the unusual ages of 27 and 45 years, are presented. Both were solid tumors, histologically considered Grade I. Implants, scattered through the peritoneal surface, were mature (Grade 0) and were composed of nerve tissue. Surgery, plus chemotherapy, was used in both instances, with encouraging results (22 and 34 months' followup showed an excellent clinical course). Spread is thought to be due to spontaneous or surgical rupture of the capsule and direct spillage of immature tumoral cells which apparently mature in the peritoneal medium.






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Copyright © 1974 by the American College of Obstetricians and Gynecologists.