Fourteen cases of a "floating balls" appearance on imaging studies in a mature ovarian cystic teratoma have been reported in published studies since 1991. Past investigators could not provide an explanation for the true mechanism of the formation of the balls. However, the floating balls occurred in rather large cysts. Because of self-examination, patients with testicular teratoma are usually referred to the hospital when the tumor is of a smaller size than that seen in patients with ovarian teratoma. We report the first case of a floating balls appearance in a testicular teratoma.

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http://dx.doi.org/10.1016/j.urology.2009.01.016DOI Listing

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Article Synopsis
  • Teratomas are the most common type of benign ovarian tumors found in young women, typically visible through specific imaging features like fat, teeth, or calcifications.
  • They can sometimes display unusual characteristics that complicate diagnosis, especially when they lack the expected intratumoral fat.
  • Complications associated with teratomas include torsion, rupture, and even malignant transformation, as highlighted by a case of a mature cystic teratoma that twisted but had no visible fat.
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