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Histologic diagnosis showed that 29.0% of these Pap tests had findings requiring follow-up or therapeutic intervention, including a 5.2% rate of malignancy. Based on these findings, 99.6% of the diagnoses are within the region of surveillance when AGUS Pap tests are evaluated with colposcopy and directed biopsy, endocervical curettage, an endometrial biopsy in patients with risk factors for endometrial cancer, and pelvic examination.

Retroperitoneal cysts are uncommon, with an estimated incidence of 1/5750 to 1/250,000. As the retroperitoneum is a large potential space, these cysts can grow to considerable size before becoming symptomatic. This case report reviews the presentation and management of an upper abdominal retroperitoneal cyst of Müllerian origin. To our knowledge, it is only the 7th such case found in the literature.

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