A case of ovarian mucinous cystadenoma in a child that recurred 1 year after surgery. (June 2021)

• Record Type: Journal Article
• Authors: Fujishima, Ayaka; Kumazawa, Yukiyo; Togashi, Kazue; Shirasawa, Hiromitsu; Sato, Wataru; Terada, Yukihiro
• Is Part Of: International journal of surgery case reports. Volume 83(2021)
• Publication Date: 2021-06
• Subjects: MRI magnetic resonance imaging -- CEA carcinoembryonic antigen; Mucinous cystadenoma -- Recurrence -- Children -- Laparoscopy -- Case report; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2021.106006
• Languages: English
• ISSNs: 2210-2612

Abstract

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. Highlights: 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.