A Rare Case of Mucinous Borderline Tumor in Adolescent Age Accompanied by Complete Vaginal Obstruction
Ovarian tumors are rare in childhood and adolescent age. A 14-year-old girl presented with abdominal distention and mild cyclical abdominal pain since 3 months ago. There was an abdominal distention, and huge firm mass was palpated from pelvis to epigastric region. Abdominal ultrasonography revealed normal uterus and large multiloculated adnexal mass with multiple fine septations. Laparotomy was performed, and the ovarian mucinous borderline tumor was reported in frozen section biopsy. Exploration of other abdominopelvic organs revealed no other pathological signs. The final pathological report showed the right ovarian mucinous borderline tumor. Although the mucinous ovarian borderline tumor is a rare condition in adolescent age, pelvic mass, especially with solid or nodular component, must arise this diagnosis, and exploratory laparotomy with comprehensive surgical staging with regard to fertility preservation is warranted.
2. Duska LR, Tew WP, Moore KN. Epithelial ovarian cancer in older women: defining the best management approach. Am Soc Clin Oncol Educ Book 2015:e311–e321.
3. Morice P, Uzan C, Fauvet R, Gouy S, Duvillard P, Darai E. Borderline ovarian tumor: pathological diagnostic dilemma and risk factors for invasive or lethal recurrence Lancet Oncol 2012;13:e103-5.
4. Kurman RJ. International Agency for Research on Cancer (IARC) WHO Classification of Tumours of Female Reproductive Organs. 4th ed. Lyon: IARC, 2014.
5. Jones HW, Rock JA, eds. Te Linde’s Operative Gynecology. 11th ed. Wolters Kluwer, 2015:473.
6. Jones HW, Rock JA, eds. Te Linde’s Operative Gynecology. 11th ed. Wolters Kluwer, 2015:475.
7. Liu F, Wei J, Shen D, Liu J. Mucinous borderline tumor involving fallopian tube: case report and review of the literature. J Clin Exp Pathol 2013;15:962-5.
8. Hohne S, Milzsch M, Stiefel M, Kunze C, Hauptmann S, Finke R. Ovarian Borderline Tumors in Pre-Menarche Girls. Pediatr Hematol Oncol 2013;30:253-62.
9. Horiuchi A, Kameoka K, Sato K, Yamamoto Y, Watanabe Y. Huge mucinous borderline ovarian cystadenoma in a premenarchal girl. Open J Pediatr 2012;2:82-6.
10. Yazbek J, Raju KS, Ben-Nagi J, Holland T, Hillaby K, Jurkovic D. Accuracy of ultrasound subjective 'pattern recognition' for the diagnosis of borderline ovarian tumors. Ultrasound Obstet Gynecol 2007;29:489-95.
11. Lee HM1, So KA, Kim MK, Lee YK, Lee IH, Kim TJ, et al. A case report of a young girl with mucinous borderline tumor of the ovary. Obstet Gynecol Sci 2016;59:333-6.
12. Ahmed R, Din HU, Hashmi SN, Muhammad I. Sarcoma-Like Mural Nodule in a Borderline Mucinous Tumour of Ovary. J Coll Physicians Surg Pak 2016;26:435-7.
13. Berek JS, Crum C, Friedlander M. Cancer of the ovary, fallopian tube, and peritoneum. Int J Gynaecol Obstet 2015;131:S111-22.
14. Ledermann JA, Luvero D, Shafer A, O'Connor D, Mangili G, Friedlander M, et al. Gynecologic Cancer InterGroup (GCIG) consensus review for mucinous ovarian carcinoma. Int J Gynecol Cancer 2014;24:S14-9.
15. Khunamornpong S, Settakorn J, Sukpan K, Suprasert P, Siriaunkgul S. Mucinous tumor of low malignant potential ("borderline" or "atypical proliferative" tumor) of the ovary: a study of 171 cases with the assessment of intraepithelial carcinoma and microinvasion. Int J Gynecol Pathol 2011;30:218-30.
|Issue||Vol 57, No 2 (2019)|
|Mucinous carcinoma Ovarian neoplasm Adolescent Epithelial tumor|
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