A case of ovarian mucinous cystadenoma in a child that recurred 1 year after surgery

Fujishima, Ayaka; Kumazawa, Yukiyo; Togashi, Kazue; Shirasawa, Hiromitsu; Sato, Wataru

doi:10.1016/j.ijscr.2021.106006

Cited by 6 publications

(9 citation statements)

References 12 publications

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“…In our case, the delayed consultation and contentious follow-up of the patient would explain the discovery of the ovarian mass at an advanced stage with 10.5 kg of weight. Mucinous cystadenomas often occur between 30 and 50 years of age and are rarely observed in children and adolescents, although exceptional cases have been reported (4,11). Our patient was 47 years old.…”

Section: Discussionmentioning

confidence: 65%

“…Abdominal-pelvic ultrasound is the imaging study of choice in the investigation of the mass, but often it's supplemented by abdominal pelvic CT or magnetic resonance imaging (MRI) to assess the level of extension of the tumour and to note its specificity (3,10,13). Histopathology and tumour biomarker testing may also be performed (4,13). In our case, Abdominal-pelvic ultrasound showed a large avascular heterogeneous mass with multiple partitioned hypoechoes patches measuring 35 cm × 25 cm × 15 cm with a regular contour.…”

Section: Discussionmentioning

confidence: 99%

“…Ovarian tumors are the most common gynecological neoplasms, with a prevalence of 2.5-6.6% in a woman's lifetime, and are the 8th leading cause of cancer mortality among women worldwide (2). Mucinous cystadenomas make up 15-20% of all epithelial tumors (3,4). Often unilateral, only 10% of primary mucinous cystadenomas are bilateral (1).…”

Section: Introductionmentioning

confidence: 99%

“…Often unilateral, only 10% of primary mucinous cystadenomas are bilateral (1). The peak incidence of mucinous cystadenoma occurs between 30 and 50 years of age; however, they rarely occur in children and adolescents (4). These tumors arise from the surface epithelium of the ovary and have smooth inner and outer thin walls (3,5).…”

Section: Introductionmentioning

confidence: 99%

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A huge ovarian cystadenoma mucinous in a 47-Year-Old Woman : About a case

Colombe

Murhula

Baderha

et al. 2022

Preprint

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A huge ovarian cystadenoma mucinous in a 47-Year-Old Woman : About a case

Colombe

Murhula

Baderha

et al. 2022

Preprint

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“…The recurrence of ovarian mucinous cysts is rare. Nine recurrent cases originating from benign mucinous cystadenomas of the ovary have been reported [1,2,[6][7][8][9][10][11][12]. In all these cases, a cystectomy had been performed as the first procedure.…”

Section: Discussionmentioning

confidence: 99%

A Recurrent Mucinous Neoplasm Originating From an Ovarian Mucinous Cystadenoma After an Adnexectomy As the First Procedure: A Case Report

Ohira¹,

Hayashi²,

Kitano³

et al. 2022

Cureus

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Ovarian mucinous cystadenomas are benign, but they can rarely recur if incompletely excised. We are the very first to report a case of recurrent mucinous neoplasm originating from an ovarian mucinous cystadenoma after adnexectomy as the first procedure. A 58-year-old woman was referred to our hospital with a two-year history of abdominal fullness. Magnetic resonance imaging (MRI) demonstrated a pelviabdominal cyst measuring 37 cm, without solid components within the cyst. A laparotomy revealed a huge cystic tumor originating from the right ovary. A right adnexectomy was performed without intraoperative cyst rupture or spillage. Histologically, the cyst was diagnosed as a mucinous cystadenoma. A month after the operation, ultrasonography revealed a cystic lesion measuring 1.8 cm adjacent to the right side of the uterine body. During the follow-up every three months, the cyst enlarged gradually, and an MRI performed 42 months after the operation revealed a cystic mass measuring 5.5 cm, including an internal protrusion. The second laparotomy revealed a cystic mass arising from the right surface of the uterine body, and a total hysterectomy and left adnexectomy were performed. Histologically, this uterine tumor was diagnosed as a mucinous borderline tumor that recurred from the ovarian mucinous cystadenoma. On histological examination of the resected uterus, the silken threads used at the first operation were observed in proximity to the tumor lesion. We speculated that the reason for the recurrence of our case may be the uterine-side remanence of the mucinous tumor cells from the first operation. Because the utero-ovarian ligament became short due to the large ovarian cyst, adnexectomy as a first procedure may be insufficient. A close follow-up of these patients is required for early detection of the recurrence, and attention is necessary for patients having malignant transformation due to an adenoma-borderline-malignant sequence of ovarian mucinous tumors.

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