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01 August 2014 : Case report  Turkey

A 9-kg Ovarian Mucinous Cystadenoma in a 14-Year-Old Premenarchal Girl

Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Şenol BiçerABEF, Zehra ErkulBC, İsmail DemiryilmazDF, Necla PekerF

DOI: 10.12659/AJCR.890862

Am J Case Rep 2014; 15:326-329

Abstract

BACKGROUND: Although ovarian tumors are most commonly observed in adults, they relatively rarely occur in children. The majority of ovarian masses encountered in the premenarchal or childhood stages are non-neoplastic lesions such as benign functional cysts. Epithelial tumors account for 8–10% of all ovarian tumors and are histologically classified as mucinous or serous. The most common benign epithelial ovarian tumor is cystadenoma.

CASE REPORT: We report the case of a 14-year-old premenarchal girl with chronic abdominal pain, constipation, and abdominal enlargement. A computed tomography detected a huge left ovarian cystic tumor. A 9-kg ovarian tumor was removed surgically. Pathology showed a benign mucinous cystadenoma (MCA).

CONCLUSIONS: Ovarian neoplasms in children present a diagnostic quandary, and very often the diagnoses are missed or delayed. When the diagnosis is made, a prompt and fertility-preserving surgical treatment must be performed and followed to prevent recurrence.

Keywords: Cystadenoma, Mucinous - surgery, Adolescent, Laparotomy, Neoplasm Staging, Ovarian Neoplasms - surgery, Precancerous Conditions, Tomography, X-Ray Computed

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923