01 August 2014 : Case report
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 PekerFDOI: 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, Ovarian Neoplasms - surgery, Precancerous Conditions, Tomography, X-Ray Computed
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