An Extra-large Ovarian Mucinous Cystadenoma in a Premenarchal Girl and a Review of the Literature

Cevik, Muazez; Güldür, Muhammed Emin

doi:10.1016/j.jpag.2012.04.007

Cited by 28 publications

(38 citation statements)

References 16 publications

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“…Tumor markers CA-125 and CA 19.9 are released from the damaged tumor epithelium at sites of adhesions and epithelial shearing stresses. The subsequent high local concentration of tumor markers at these sites is resorbed into the systemic circulation [7]. CA-125 and CA 19-9 levels were initially high in our patient.…”

Section: Discussionmentioning

confidence: 75%

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

et al. 2014

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Patient: Female, 14Final Diagnosis: Ovarian mucinous cystadenomaSymptoms: Abdominal enlargement • abdominal pain • constipationMedication: —Clinical Procedure: —Specialty: Obstetrics and GynecologyObjective:Rare diseaseBackground: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.

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Section: Discussionmentioning

confidence: 75%

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

et al. 2014

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“…Giant cysts require resection because of compressive symptoms or risk of malignancy and their management invariably requires laparotomy to prevent perforation and spillage of the cyst fluid into the cavity [8]. Clinically, the differential diagnosis of large abdominal masses should include: uterine enlargement (pregnancy, fibromyomatosis); pelvic endometriosis; (pregnancy, abdominal cysts); abdominal pregnancy; urinary retention (full bladder); intestinal tumors; hydronephrotic kidney; pelvic retroperitoneal tumors; accentuated obesity; ascitis; cyst of the urachus; mesenteric cyst; abdominal cocoon [10]; and echinococcosis [11], among others [1,2,8]. …”

Section: Discussionmentioning

confidence: 99%

“…They often occur in the fourth and fifth decades, accounting for 25% of the ovarian tumors, 5% are bilateral and 15% are malignant [1]. Mucinous (25%) and serous (75%) cystadenomas account for 8 to 15% of all ovarian tumors [2,3]. The epithelium of the cysts is usually cylindrical and mono- or multi-stratified, and cuboidal epithelium is due to the pressure inside the cyst [1].…”

Section: Introductionmentioning

confidence: 99%

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A 57-year-old Brazilian woman with a giant mucinous cystadenocarcinoma of the ovary: a case report

Lima

Santos

Darós³

et al. 2014

J Med Case Reports

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IntroductionGiant cystadenocarcinomas of the ovary are rarely described conditions.Case presentationThe authors describe a 57-year-old Brazilian woman who presented with an increase in abdominal girth in February 2003. Imaging studies showed a giant abdominal pelvic mass with probable origin in the right ovary. Cancer antigen-125 was elevated, while carcinoembrionic antigen and alpha-fetoprotein were normal. Total abdominal hysterectomy, bilateral salpingoophorectomy and omentectomy were done. The mass weighed 40Kg, and the histopathology study revealed a mucinous cystadenocarcinoma. She underwent chemotherapy with paclitaxel and cisplatin with no side effects. Under follow-up for more than 10 years, she is asymptomatic and with normal imaging and laboratory parameters, including the cancer antigen-125 marker.ConclusionThis huge tumor evolved for a long time unsuspected and without metastases in a patient from a developing region. The diagnostic and management challenges posed by this unexpected and unusual presentation of an ovarian cystadenocarcinoma are discussed.

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“…Like other ovarian pathology, these tumors are far more common in older women, but can also present in childhood and adolescence, representing 10% to 28% of ovarian tumors in these ages. 64,65 In a review of 23 patients, abdominal or pelvic pain (50%) and menstrual irregularities (12.5%) were the most common presenting symptoms, but 37.5% were asymptomatic at the time of diagnosis. 65 In a large series of 69 cystadenomas in children, 73% were serous, 24% mucinous, and 3% mixed serous/ .…”

Section: Cystadenomasmentioning

confidence: 99%

Adnexal Masses in Children and Adolescents

Kelleher

Goldstein

2015

Clinical Obstetrics &Amp; Gynecology

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Adnexal masses in children encompass a variety of lesions of the ovaries and fallopian tubes, including ovarian cysts and tumors (benign or malignant), fallopian tube cysts and abscesses, paratubal cysts, and endometriomas. When developing a differential diagnosis for adnexal masses in childhood, the clinician must have a broad understanding of adnexal pathology and consider the patient's age, presenting complaints, physical examination findings, and imaging results to generate a list of possible diagnoses and the appropriate treatment plan. We review the clinical presentation of these lesions and discuss the current recommendations for their management.

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An Extra-large Ovarian Mucinous Cystadenoma in a Premenarchal Girl and a Review of the Literature

Cited by 28 publications

References 16 publications

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

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

A 57-year-old Brazilian woman with a giant mucinous cystadenocarcinoma of the ovary: a case report

Adnexal Masses in Children and Adolescents

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