一名儿童卵巢黏液性囊腺瘤病例，术后1年复发。
A case of ovarian mucinous cystadenoma in a child that recurred 1 year after surgery.
作者信息
Fujishima Ayaka, Kumazawa Yukiyo, Togashi Kazue, Shirasawa Hiromitsu, Sato Wataru, Terada Yukihiro
机构信息
Department of Obstetrics and Gynecology, Akita University Graduate School of Medicine, Akita, Japan.
Department of Obstetrics and Gynecology, Akita University Graduate School of Medicine, Akita, Japan.
出版信息
Int J Surg Case Rep. 2021 Jun;83:106006. doi: 10.1016/j.ijscr.2021.106006. Epub 2021 May 20.
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.
引言与重要性
在儿童中，成熟性囊性畸胎瘤是最常见的卵巢肿瘤。黏液性囊腺瘤较为少见。此外，黏液性囊腺瘤的复发非常罕见。本报告描述了一例青少年卵巢黏液性囊腺瘤，术后1年复发。
病例介绍
一名13岁患者，患有较大的卵巢肿瘤，接受了腹腔镜辅助囊肿切除术。组织病理学检查显示，该肿瘤被诊断为卵巢黏液性囊腺瘤。黏液性囊腺瘤在术后13个月复发，随后进行了腹腔镜右侧附件切除术。
临床讨论
据报道，术中囊肿破裂以及行囊肿切除术而非附件切除术是黏液性囊腺瘤复发的危险因素。由于存在复发的可能性，囊肿切除术后的患者需要密切随访。
结论
对于患有黏液性囊腺瘤的年轻患者，在决定治疗方案时应仔细考虑复发风险和生育功能的保留。
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