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The most common germ cell tumor of ovary is mature cystic teratoma (MCT). Malignant transformation occurs in 1-2% of the cases, and most of the malignancy from the MCT are squamous cell carcinoma, representing 75% of malignant transformation. The incidence of malignant transformation of adenocarcinoma is rare about 6.8%. Here we present a rare case coexistence of mucinous adenocarcinoma with benign cystic teratoma in the same ovary with omental, pelvic and para aortic node metastasis.

Mucinous Adenocarcinoma Arising From Mature Cystic Teratoma with Nodal Metastasis