Fujishima A, Kumazawa Y, Togashi K, Shirasawa H, Sato W, Terada Y. A case of ovarian mucinous cystadenoma in a child that recurred 1 year after surgery.
Int J Surg Case Rep 2021;
83:106006. [PMID:
34049175 PMCID:
PMC8167279 DOI:
10.1016/j.ijscr.2021.106006]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 05/11/2021] [Accepted: 05/16/2021] [Indexed: 11/05/2022] Open
Abstract
Introduction and importance
In children, mature cystic teratomas are the most common ovarian tumors. Mucinous cystadenomas are rarely seen. Further, the recurrence of mucinous cystadenomas is very rare. This report describes a case of ovarian mucous cystadenoma in an adolescent that recurred 1 year after surgery.
Case presentation
A 13-year-old patient, with a sizable ovarian tumor underwent laparoscopic-assisted cystectomy. On histopathology, the tumor was diagnosed to be an ovarian mucinous cystadenoma. The mucinous cystadenoma recurred 13 months after surgery and subsequently laparoscopic right adnexectomy was performed.
Clinical discussion
It has been reported that intraoperative cyst rupture and cystectomy instead of adnexectomy are risk factors for mucinous cystadenoma recurrence. Close follow-up is required for post-cystectomy patients because of the possibility of recurrence.
Conclusion
The risk of recurrence and the preservation of fertility should be carefully considered when deciding on treatment in young patients with a mucinous cystadenoma.
Mucinous cystadenomas are uncommon in children and their recurrence is very rare.
Patients undergoing cystectomy should be carefully followed up for recurrence.
The risk of recurrence is a key factor when deciding on treatment.
The preservation of fertility should be considered when treating younger patients.
Collapse