Vizza Enrico, Galati Gregorio Marco, Corrado Giacomo, Atlante Marco, Infante Costanza, Sbiroli Carlo
Division of Oncology and Gynaecology, Department of Oncologic Surgery, National Cancer Institute, Regina Elena, Rome, Italy.
J Pediatr Adolesc Gynecol. 2005 Dec;18(6):419-22. doi: 10.1016/j.jpag.2005.09.009.
Mucinous cystadenoma of the ovary constitutes about 15% of ovarian tumors. It is more common in women between 20 and 40, but is rare in teenagers and exceptional in pre-menstrual girls. Malignant transformation is possible in 5-10% of cases. Spontaneous or iatrogenic breaks are more common. It makes the different diagnosis of pseudomixoma peritonei more difficult.
A 13-year-old girl came to the National Cancer Institute "Regina Elena" of Rome, with increasing abdominal distension over 2 months. The abdominal mass was removed and a left salpingo-oophorectomy was performed. Histological examination of the mass revealed a 40-cm diameter mucinous cystadenoma of the ovary.
The rapid enlargement of the ovarian mass, the young age and the difficulty of certain pre-operative diagnosis, make this case interesting. Management of this pathology and fertility-conserving treatment need careful follow-up because of the possibility of recurrence in the remaining ovary.
卵巢黏液性囊腺瘤约占卵巢肿瘤的15%。多见于20至40岁女性，青少年少见，月经前女孩罕见。5%至10%的病例可能发生恶变。自发破裂或医源性破裂较为常见。这使得腹膜假黏液瘤的鉴别诊断更加困难。
一名13岁女孩因腹胀2个月加重就诊于罗马的“雷吉娜·埃琳娜”国家癌症研究所。切除腹部肿块并行左侧输卵管卵巢切除术。肿块组织学检查显示为直径40厘米的卵巢黏液性囊腺瘤。
卵巢肿块迅速增大、患者年龄小以及术前某些诊断困难，使该病例颇具意义。由于剩余卵巢有复发可能，对此类病变的处理及保留生育功能的治疗需要密切随访。
