Immature teratoma of the ovary: A Pandora’s box-an oncologist’s perspective

Malignancy rarely arises in mature cystic teratoma; however, it tends to affect postmenopausal females – most commonly squamous cell carcinoma. Neural tissue may be found in some cases, although very rarely seen in immature teratoma. We present a case report of a 22-year-old nulliparous female with left ovarian immature teratoma – Stage-IA, Grade-3 with oligodendroglial differentiation. The case was discussed in the multidisciplinary tumor board - the patient received four cycles of systemic therapy and is now disease-free at 9 months follow-up.