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Am J Case Rep. 2014 Aug 1;15:326-9. doi: 10.12659/AJCR.890862.

A 9-kg ovarian mucinous cystadenoma in a 14-year-old premenarchal girl.

Author information

  • 1Department of Pediatric Surgery, Erzincan University, Medical School, Erzincan, Turkey.
  • 2Department of Pathology, Gümüshane State Hospital, Gümüshane, Turkey.
  • 3Department of General Surgery, Erzincan University, Medical School, Erzincan, Turkey.
  • 4Department of Pediatrics, Erzincan University Medical School, Erzincan, Turkey.

Abstract

PATIENT:

Female, 14.

FINAL DIAGNOSIS:

Ovarian mucinous cystadenoma.

SYMPTOMS:

Abdominal enlargement • abdominal pain • constipation.

MEDICATION:

-.

CLINICAL PROCEDURE:

-.

SPECIALTY:

Obstetrics and Gynecology.

OBJECTIVE:

Rare disease.

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.

PMID:
25082433
PMCID:
PMC4122110
DOI:
10.12659/AJCR.890862
[PubMed - indexed for MEDLINE]
Free PMC Article
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