Recurring ovarian mature teratomas after immature teratome 5 years prior

[Jeffdad]

Sorry for my previous misplaced entry(new to this site)
My daughter had a mixed immature and mature teratoma (18 cm) removed 5 years ago. Her right ovary was removed at the time and she never had chemo. Since the initial operation she has been monitored closely with MRI's, CT scans, AFP and there has not been subsequent evidence of malignancy.

Since the initial operation she has had 6 surgeries to remove non malignant teratomas  on the left ovary to preserve the ovary and her fertility (last operation this past week). There is gliamatosis peritonei in other associated areas (omentum, peritoneal sac, etc. which does not seem to present a problem.

As the primary concern is now her fertility, as the teratomas dont stop growing on her remaining ovary, is she doomed to have yearly operations or are there any other options to explore? Shes 20 years old.
Thanks,
Jeff

[Annekathryn Goodman, M.D.]

yes ,
that is a good idea
take care

[Jeffdad]

Yes... teratomas are all over surrounding areas deemed to be gliatatosis peritonei. We are at NYU medical in NYC. I assume they do chromosomal evaluation. Would you think we need to consult with an endocrinologist also.
Thanks,
Jeff

[Annekathryn Goodman, M.D.]

hi Again,
my only other thought is : it is a bit unusual to have so many dermoids. Should your daughter have a chromosomal evaluation ?. There are a few genetic syndromes with some chromosome changes - usually this is related to finding teratomas in sites outside of the ovary.
take care