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A dermoid cyst is a teratoma of a cystic nature that contains an array of developmentally mature, solid tissues. It frequently consists of skin, hair follicles, and sweat glands, while other commonly found components include clumps of long hair, pockets of sebum, blood, fat, bone, nail, teeth, eyes, cartilage, and thyroid tissue.
A dermoid cyst is a mature cystic teratoma containing hair (sometimes very abundant) and other structures characteristic of normal skin and other tissues derived from the ectoderm. The term is most often applied to teratoma on the skull sutures and in the ovaries of females.
Cysts caused by endometriosis, known as chocolate cysts; Hemorrhagic ovarian cyst; Dermoid cyst – the most common non-functional ovarian cyst, especially for women under the age of 30, [11] they are benign (non-cancerous) with varied morphology. [13] They can usually be diagnosed from ultrasound alone. [13]
Teratomas can be divided into two types: mature teratoma (benign) and immature teratoma (malignant). Immature teratomas contain immature or embryonic tissue which significantly differentiates them from mature teratomas as they carry dermoid cysts. [7] It is commonly observed in 15 to 19-year-old women and rarely in women after menopause. [8]
One of the most important factors used to determine the clinical suspicion of malignancy of an adnexal mass is the sonographic appearance of the mass. [2] Indications that the mass is at a higher risk of being malignant include the presence of loculations, nodules , papillary structures, septations , or a size greater than 10 cm. [ 3 ] [ 4 ]
At CT and MRI, an immature teratoma possesses characteristic appearance. It is typically large (12–25 cm) and has prominent solid components with cystic elements. [10] It is usually filled with lipid constituents and therefore demonstrates fat density at CT and MRI. [10] Ultrasound appearance of an immature teratoma is nonspecific.
Bat wing appearance; Bear paw sign; Beveled edge sign; Bird of prey sign; Bite sign; Black pleura sign; Blade of grass sign (also known as Flame sign) Blumensaat's line; Bohler's angle; Bone-within-a-bone appearance; Boomerang sign; Bow tie appearance; Bowl of grapes sign; Bowler hat sign; Brim sign; Bucket handle tear; Bulging fissure sign ...
The cyst wall is composed of squamous epithelium (90%), columnar cells with or without cilia, or a mixture of both, with lymphoid infiltrate, often with prominent germinal centers and few subcapsular lymph sinuses. The cyst is typically surrounded by lymphoid tissue that has attenuated or absent overlying epithelium due to inflammatory changes.
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