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Int J Gynecol Pathol. 2005 Oct;24(4):382-4.

Uterus-like ovarian mass presenting near menarche.

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  • 1Department of Pathology, Columbia University Medical Center, New York, New York 10032, USA.


An eleven year-old girl presented with right lower quadrant abdominal pain near menarche that coincided with the onset of her most recent menstrual period. A smooth-lined cystic structure with a thick wall was discovered in the right adnexa at surgery that was adherent to a multicystic ovary and a dilated fallopian tube. Histologic examination determined the lesion to be a uterus-like ovarian mass. The patient had a history of a resected right pelvic kidney at four months of age. This case is believed to represent a congenital malformation of the urogenital system rather than smooth muscle metaplasia of ovarian stromal cells.

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