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An 89-year-old woman with adenosquamous carcinoma arising in a dermoid cyst (benign cystic teratoma) of the ovary is reported. The malignant change of a dermoid cyst is rare. To our knowledge, this is the first report case of an adenosquamous carcinoma arising in a dermoid cyst of the ovary. Moreover, this case is the oldest patient on record. It is important that dermoid cyst be examined carefully.
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