Giant Paratubal Serous Cystadenoma in an Adolescent Female: Case Report and Literature Review

• Published in: Journal of pediatric & adolescent gynecology Vol. 33; no. 4; pp. 438 - 440
• Main Authors: Zvizdic, Zlatan, Bukvic, Melika, Murtezic, Senad, Skenderi, Faruk, Vranic, Semir
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-08-2020
• Subjects: Adolescence; Diagnosis; Paratubal cysts; Serous cystadenomas; Surgery; Adolescence; Paratubal cysts; Diagnosis; Serous cystadenomas; Surgery
• ISSN: 1083-3188; 1873-4332
• DOI: 10.1016/j.jpag.2020.03.010

Paraovarian/paratubal cysts constitute 5-20% of all adnexal lesions and typically originate from the paramesonephric or Müllerian duct. The primary epithelial tumors arising from paraovarian cysts account for 25% of the cases, but giant cystadenomas of paraovarian origin are extremely uncommon during childhood and adolescence with very few cases reported in the literature.
We present the case of a 15-year-old female that presented with a bulky mass in the abdomen and pelvis. An initial clinical and radiological examination indicated an ovarian cyst measuring ∼25 × 20 cm. However, explorative laparotomy revealed a giant paratubal cyst that was successfully treated with complete excision using fertility-sparing surgery. Histopathological examination was consistent with a serous cystadenoma. The postoperative course was uneventful and the girl was discharged on the seventh postoperative day. At the follow-up of 6 months, the patient was doing well.