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Multiple Mobile Spherules in Mature Cystic Teratoma of the Ovary

Satomi Kawamoto1,2, Katsuhiko Sato3, Hiroshi Matsumoto4, Yoshichika Togo4, Yoshihiko Ueda5, Junji Tanaka1 and Atsuko Heshiki1

1 Department of Radiology, Saitama Medical School, 38 Morohongo Moroyama Iruma, Saitama, 350-0495 Japan.
2 Department of Radiology, Otsu Municipal Hospital, 2-9-9 Motomiya Otsu, Shiga, 520-0804 Japan.
3 Department of Radiology, Kasukabe Municipal Hospital, 7-2-1 Chuo Kasukabe, Saitama, 344-0067 Japan.
4 Department of Obstetrics and Gynecology, Kasukabe Municipal Hospital, Saitama, 344-0067 Japan.
5 Department of Pathology, Dokkyo University, School of Medicine, 880 Kitakobayashi Mibu Shimotsuga, Tochigi, 321-0293 Japan.



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  		Fig. 1A. —24-year-old woman with mature cystic teratoma. Sonogram shows multiple mobile spherical structures of increasing echogenicity that float in cystic mass.

 


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  		Fig. 1B. —24-year-old woman with mature cystic teratoma. Sagittal T1-weighted MR image shows large cystic mass occupying lower abdomen and pelvis. Spheres approximately 1 cm in diameter and larger float in nondependent portion of cystic mass. Outer portion of spherical structures is slightly hyperintense to surrounding fluid, but not as hyperintense as subcutaneous fat. Note fluid—debris level in dependent portion.

 


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  		Fig. 1C. —24-year-old woman with mature cystic teratoma. Sagittal (C) and coronal (D) T2-weighted MR images show spheres floating in large cystic mass. Outer portion of spherical structures are hypointense, and center is relatively hyperintense.

 


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  		Fig. 1D. —24-year-old woman with mature cystic teratoma. Sagittal (C) and coronal (D) T2-weighted MR images show spheres floating in large cystic mass. Outer portion of spherical structures are hypointense, and center is relatively hyperintense.

 


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  		Fig. 1E. —24-year-old woman with mature cystic teratoma. Photograph of gross specimen of cystic mass seen from internal surface with emptied contents shows tumor containing numerous black spheres the size of blue-berries. Also note large spheres. Internal surface of cystic tumor is smooth and lacks solid component.

 

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