<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152018000100146</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Teratoma inmaduro (maligno) de ovario]]></article-title>
<article-title xml:lang="en"><![CDATA[Ovarian immature (malignant) teratoma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Madrigal Ureña]]></surname>
<given-names><![CDATA[Angélica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mora Rosenkranz]]></surname>
<given-names><![CDATA[Brian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>146</fpage>
<lpage>151</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152018000100146&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152018000100146&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152018000100146&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El teratoma inmaduro se describió por primera vez en 1960 y puede ser puro o estar mezclado con un componente maduro. Es la segunda neoplasia maligna más común de células germinales de todos los cánceres de ovario (representa &lt;1%). Alrededor del 50% de los teratomas inmaduros puros del ovario ocurren en mujeres entre las edades de 10 y 20 años. Se debe considerar el tratamiento para preservar su fertilidad futura porque la mayoría de los tumores de células germinales de ovario son curables con la cirugía conservadora y la quimioterapia combinada de seguimiento. La mayoría de los pacientes diagnosticados con un teratoma inmaduro se curan de su enfermedad. Sin embargo en todas las pacientes, se recomienda un seguimiento cercano, particularmente en los primeros 2 años después del diagnóstico, donde existe una mayor probabilidad de recurrencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The immature teratoma was first described in 1960 and cay be pure or mixed with a mature component. It is the second most common malignant germ cell neoplasm of all ovarian cancers (representing &lt;1%). About 50% of pure immature teratomas of the ovary occur in women between the ages of 10 and 20 years. Treatment should be considered to preserve future fertility because the majority of ovarian germ cell tumors are curable with conservative surgery and combined combination chemotherapy. Most patients diagnosed with an immature teratoma are cured of their disease. However, in all patients, we recommend close follow-up, particularly in the first 2 years after diagnosis, where there is a greater chance of recurrence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Teratoma inmaduro de ovario]]></kwd>
<kwd lng="es"><![CDATA[encefalitis paraneolásica]]></kwd>
<kwd lng="es"><![CDATA[OCT4]]></kwd>
<kwd lng="es"><![CDATA[manejo en el embarazo]]></kwd>
<kwd lng="en"><![CDATA[Immature ovarian teratoma]]></kwd>
<kwd lng="en"><![CDATA[paraneoplastic encephalitis]]></kwd>
<kwd lng="en"><![CDATA[OCT4]]></kwd>
<kwd lng="en"><![CDATA[fertility-preserving surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saba]]></surname>
<given-names><![CDATA[Luca]]></given-names>
</name>
<name>
<surname><![CDATA[Guerriero]]></surname>
<given-names><![CDATA[Stefano]]></given-names>
</name>
<name>
<surname><![CDATA[Sulcis]]></surname>
<given-names><![CDATA[Rosa]]></given-names>
</name>
<name>
<surname><![CDATA[Virgilio]]></surname>
<given-names><![CDATA[Bruna]]></given-names>
</name>
<name>
<surname><![CDATA[Melis]]></surname>
<given-names><![CDATA[GianBenedetto]]></given-names>
</name>
<name>
<surname><![CDATA[Mallarini]]></surname>
<given-names><![CDATA[Giorgio]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mature and immature ovarian teratomas: CT, US and MR imaging characteristics]]></article-title>
<source><![CDATA[European Journal of Radiology]]></source>
<year>2009</year>
<volume>72</volume>
<page-range>454-63</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jorge]]></surname>
<given-names><![CDATA[Soledad]]></given-names>
</name>
<name>
<surname><![CDATA[Nathaniel]]></surname>
<given-names><![CDATA[L. Jones]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[Ling]]></given-names>
</name>
<name>
<surname><![CDATA[June]]></surname>
<given-names><![CDATA[Y. Hou]]></given-names>
</name>
<name>
<surname><![CDATA[Ana]]></surname>
<given-names><![CDATA[I. Tergas]]></given-names>
</name>
<name>
<surname><![CDATA[William]]></surname>
<given-names><![CDATA[M. Burke]]></given-names>
</name>
<name>
<surname><![CDATA[Cande]]></surname>
<given-names><![CDATA[V. Ananth]]></given-names>
</name>
<name>
<surname><![CDATA[Alfred]]></surname>
<given-names><![CDATA[I. Neugut]]></given-names>
</name>
<name>
<surname><![CDATA[Dawn]]></surname>
<given-names><![CDATA[L. Herhshman]]></given-names>
</name>
<name>
<surname><![CDATA[Jason]]></surname>
<given-names><![CDATA[D.Wright]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Characteristics, treatment and outcomes of women with immature ovarian teratoma, 1998-2012]]></article-title>
<source><![CDATA[Gynecologic Oncology]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Douay-Hauser1]]></surname>
<given-names><![CDATA[Nathalie]]></given-names>
</name>
<name>
<surname><![CDATA[Koskas1]]></surname>
<given-names><![CDATA[Martin]]></given-names>
</name>
<name>
<surname><![CDATA[Walker2]]></surname>
<given-names><![CDATA[Francine]]></given-names>
</name>
<name>
<surname><![CDATA[Luton1]]></surname>
<given-names><![CDATA[Dominique]]></given-names>
</name>
<name>
<surname><![CDATA[Yazbeck]]></surname>
<given-names><![CDATA[Chadi]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnosis and management of an immature teratoma during ovarian stimulation: a case report]]></article-title>
<source><![CDATA[Journal of Medical Case Reports]]></source>
<year>2011</year>
<volume>5</volume>
<page-range>540</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[NY]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[D-Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical characteristics of ovarian teratoma: agefocused retrospective analysis of 580 cases]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>2011</year>
<volume>205</volume>
<numero>32</numero>
<issue>32</issue>
<page-range>e1-4</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anne]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[van Altena]]></surname>
<given-names><![CDATA[Geertruida J]]></given-names>
</name>
<name>
<surname><![CDATA[Wijnberg]]></surname>
<given-names><![CDATA[Eva Kolwijck]]></given-names>
</name>
<name>
<surname><![CDATA[de Hullu]]></surname>
<given-names><![CDATA[Joanne A]]></given-names>
</name>
<name>
<surname><![CDATA[F.A.G]]></surname>
<given-names><![CDATA[Leon]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A patient with bilateral immature ovarian teratoma presenting with paraneoplastic encephalitis]]></article-title>
<source><![CDATA[Gynecologic Oncology]]></source>
<year></year>
<volume>108</volume>
<numero>2008</numero>
<issue>2008</issue>
<page-range>445-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pallavi]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Reddihalli, Anbukkani Subbian]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Umadevi, Praveen]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rathod, Shobha Krishnappa, Shakuntala]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Nanaiah, Uttam D]]></surname>
<given-names><![CDATA[Bafna]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Immature teratoma of ovary outcome following primary and secondary surgery: study of a single institution cohort]]></article-title>
<source><![CDATA[European Journal of Obstetrics &amp; Gynecology and Reproductive Biology]]></source>
<year>2015</year>
<volume>192</volume>
<page-range>17</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Perelson]]></surname>
<given-names><![CDATA[Irene]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[Elisa]]></given-names>
</name>
<name>
<surname><![CDATA[Martín]]></surname>
<given-names><![CDATA[Pluvio Coronado]]></given-names>
</name>
<name>
<surname><![CDATA[Herraiz]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<name>
<surname><![CDATA[Vidart]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Immature ovarian teratoma in pregnancy]]></article-title>
<source><![CDATA[Prog Obstet Ginecol]]></source>
<year>2009</year>
<volume>52</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>307-11</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andrés]]></surname>
<given-names><![CDATA[Sánchez]]></given-names>
</name>
<name>
<surname><![CDATA[Diéguez]]></surname>
<given-names><![CDATA[Valdés]]></given-names>
</name>
<name>
<surname><![CDATA[Macián]]></surname>
<given-names><![CDATA[Marco]]></given-names>
</name>
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[Carrasco]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Teratoma inmaduro de ovario y miocardiopatía dilatada]]></article-title>
<source><![CDATA[An Pediatr (Barc)]]></source>
<year>2010</year>
<volume>73</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>347-51</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aydiner]]></surname>
<given-names><![CDATA[Adnan]]></given-names>
</name>
<name>
<surname><![CDATA[Gurvit]]></surname>
<given-names><![CDATA[Hakan]]></given-names>
</name>
<name>
<surname><![CDATA[Baral]]></surname>
<given-names><![CDATA[Isin]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paraneoplastic limbic encephalitis with immature ovarian teratoma]]></article-title>
<source><![CDATA[Journal of Neuro-Oncology]]></source>
<year>1998</year>
<volume>37</volume>
<page-range>63-6</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[A]]></surname>
<given-names><![CDATA[Kurata]]></given-names>
</name>
<name>
<surname><![CDATA[K]]></surname>
<given-names><![CDATA[Hirano]]></given-names>
</name>
<name>
<surname><![CDATA[M]]></surname>
<given-names><![CDATA[Nagane]]></given-names>
</name>
<name>
<surname><![CDATA[Y]]></surname>
<given-names><![CDATA[Fujioka]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Immature Teratoma of the Ovary With Distant Metastases: Favorable Prognosis and Insights Into Chemotherapeutic Retroconversion]]></article-title>
<source><![CDATA[International Journal of Gynecological Pathology]]></source>
<year>2010</year>
<volume>29</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>438-44</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[S]]></surname>
<given-names><![CDATA[Choudhary]]></given-names>
</name>
<name>
<surname><![CDATA[N]]></surname>
<given-names><![CDATA[Fasih]]></given-names>
</name>
<name>
<surname><![CDATA[M Mc]]></surname>
<given-names><![CDATA[Innes]]></given-names>
</name>
<name>
<surname><![CDATA[C]]></surname>
<given-names><![CDATA[Marginean]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Imaging of ovarian teratomas: Appearances and complications]]></article-title>
<source><![CDATA[Journal of Medical Imaging and Radiation Oncology]]></source>
<year>2009</year>
<volume>53</volume>
<page-range>480-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[Chia-Hui]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[Ming-Jie]]></given-names>
</name>
<name>
<surname><![CDATA[Cheng]]></surname>
<given-names><![CDATA[Ming-Huei]]></given-names>
</name>
<name>
<surname><![CDATA[Yen]]></surname>
<given-names><![CDATA[Ming-Shyen]]></given-names>
</name>
<name>
<surname><![CDATA[Lai]]></surname>
<given-names><![CDATA[Chiung-Ru]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[Peng-Hui]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fertility Preservation with Treatment of Immature Teratoma of the Ovary]]></article-title>
<source><![CDATA[J Chin Med Assoc]]></source>
<year>2007</year>
<volume>70</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>218-21</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Snir]]></surname>
<given-names><![CDATA[Olivia L]]></given-names>
</name>
<name>
<surname><![CDATA[DeJoseph]]></surname>
<given-names><![CDATA[Maura]]></given-names>
</name>
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[Serena]]></given-names>
</name>
<name>
<surname><![CDATA[Buza]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<name>
<surname><![CDATA[Hui]]></surname>
<given-names><![CDATA[Pei]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Frequent homozygosity in both mature and immature ovarian teratomas: a shared genetic basis of tumorigenesis]]></article-title>
<source><![CDATA[Modern Pathology]]></source>
<year>2017</year>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vicus]]></surname>
<given-names><![CDATA[Danielle]]></given-names>
</name>
<name>
<surname><![CDATA[Mario]]></surname>
<given-names><![CDATA[E. Beiner]]></given-names>
</name>
<name>
<surname><![CDATA[Clarke]]></surname>
<given-names><![CDATA[Blaise]]></given-names>
</name>
<name>
<surname><![CDATA[Klachook]]></surname>
<given-names><![CDATA[Shany]]></given-names>
</name>
<name>
<surname><![CDATA[Lisa]]></surname>
<given-names><![CDATA[W. Le]]></given-names>
</name>
<name>
<surname><![CDATA[Laframboise]]></surname>
<given-names><![CDATA[Stephane]]></given-names>
</name>
<name>
<surname><![CDATA[Mackay]]></surname>
<given-names><![CDATA[Helen]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ovarian immature teratoma: Treatment and outcome in a single institutional cohort]]></article-title>
<source><![CDATA[Gynecologic Oncology]]></source>
<year>2011</year>
<volume>123</volume>
<page-range>50-3</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
