Hamza Hazwa Karathanathodi, Yaqoob Nausheen, Galaal Khadra Ahmed, Zribi Aref, Al-Haddabi Ibrahim
Department of Histopathology and Cytopathology, Sultan Qaboos Comprehensive Cancer Care Centre, MUSCAT, OMAN.
Department of Surgical Oncology, Sultan Qaboos Comprehensive Cancer Care Centre, MUSCAT, OMAN.
Turk Patoloji Derg. 2024 Aug 20. doi: 10.5146/tjpath.2024.13496.
Ovarian epithelial tumors are common in adults, and the median patient age at presentation is 55 years. In children, epithelial tumors are rare and mostly benign. Mucinous cystadenocarcinoma is reported in only 11 cases less than 15 years old. This report describes the case of a 15-year-old postmenarchal Omani girl with ovarian mucinous carcinoma. She was admitted with severe epigastric pain and abdomen distension. CT scan showed a huge cystic lesion arising from the left adnexa filling the entire abdominal and pelvic cavity. The patient underwent laparotomy with left ovarian cystectomy and omental biopsy which revealed a 35 x 30 cm left ovarian cyst filled with turbid straw color fluid. Histopathology was reported as mucinous carcinoma. The patient later underwent cytoreductive surgery with left salpingo-oophorectomy, omentectomy, appendicectomy, and lymph node dissection that were negative for malignancy or metastatic disease. During follow-up, she developed a lymphocele in the pelvic cavity that was drained. There were no other significant issues during follow-up, as well as no evidence of recurrence or metastasis. Epithelial tumors of the ovary are rare in young girls, with malignant tumors being exceedingly rare. Fertility-sparing surgery is adopted over radical surgery in these patients, even though the recurrence rates with this treatment protocol are high. All cases should be under follow-up to look for recurrence and timely management.
卵巢上皮性肿瘤在成年人中很常见，就诊时患者的中位年龄为55岁。在儿童中，上皮性肿瘤很少见，且大多为良性。据报道，15岁以下的黏液性囊腺癌仅有11例。本报告描述了一名15岁月经初潮后的阿曼女孩患卵巢黏液癌的病例。她因严重的上腹部疼痛和腹胀入院。CT扫描显示左侧附件有一个巨大的囊性病变，占据了整个腹腔和盆腔。患者接受了剖腹手术，进行了左侧卵巢囊肿切除术和大网膜活检，结果显示左侧卵巢有一个35×30厘米的囊肿，内充满浑浊的稻草色液体。组织病理学报告为黏液癌。患者随后接受了减瘤手术，包括左侧输卵管卵巢切除术、大网膜切除术、阑尾切除术和淋巴结清扫术，结果均未发现恶性肿瘤或转移性疾病。在随访期间，她盆腔出现了淋巴囊肿并进行了引流。随访期间没有其他重大问题，也没有复发或转移的迹象。卵巢上皮性肿瘤在年轻女孩中很少见，恶性肿瘤极为罕见。在这些患者中，即使这种治疗方案的复发率很高，也采用保留生育功能的手术而非根治性手术。所有病例都应进行随访，以寻找复发情况并及时处理。
