American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
Open Access
Journal Browser
Go
American Journal of Medical Case Reports. 2018, 6(12), 233-236
DOI: 10.12691/ajmcr-6-12-2
Open AccessCase Report

Para Ovarian Cyst in 16 Years Old Female; Borderline Ovarian Tumor: A Case Report

Mohamed El-Bakry Lashin1, Mai Mohammed Abdelwahab2 and Walid Mohamed Elnagar1,

1Obstetrics and Gynecology Department, Faculty of Medicine, Zagazig University, Egypt

2Pathology Department, Faculty of Medicine, Zagazig University, Egypt

Pub. Date: December 20, 2018

Cite this paper:
Mohamed El-Bakry Lashin, Mai Mohammed Abdelwahab and Walid Mohamed Elnagar. Para Ovarian Cyst in 16 Years Old Female; Borderline Ovarian Tumor: A Case Report. American Journal of Medical Case Reports. 2018; 6(12):233-236. doi: 10.12691/ajmcr-6-12-2

Abstract

Paraovarian cysts are common, accounting for 10–20% of all adnexal lesions, and most of them are benign. On the other side, paraovarian tumors of borderline malignancy are very rare, only about forty cases were reported all over the world. Here, we present a case of 16 years female with left lower abdominal pain, pelvic sonography showed a cystic mass in Douglas pouch with solid mural nodule. She underwent laparoscopy, we detected and extirpated a paraovarian cyst of about 10x10 cm with solid component 3x3 cm and corpus luteum cyst 5x5 cm. After histopathological analysis, it was proved to be borderline ovarian serous tumor Stage Ic according to the International Federation of Gynecology and Obstetrics (FIGO) staging. As till now, there is no clear guideline regarding the management of this tumor; the treatment strategy was determined on the basis of ovarian tumor guidelines, with preservation of fertility. In conclusion, paraovarian cysts is a common disease and usually benign. It rarely causes clinical problems, but caution is necessary as there is a possibility of a malignant or borderline tumor. As in ovarian tumors, even if the size of the solid component of the tumor detected by diagnostic imaging is very tiny, malignant or borderline malignant tumors should be considered.

Keywords:
borderline ovarian tumor paraovarian cyst laparoscopy imaging

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

Figures

Figure of 3

References:

[1]  Bohîlțea RE, Cîrstoiu MM, Turcan N, Ionescu CA. Ultrasound diagnostic of mesonephric paraovarian cyst-case report. J Med Life. 2016; 9(3): 280-3.
 
[2]  Gupta A, Gupta P, Manaktala U, Khurana N. Clinical, radiological, and histopathological analysis of paraovarian cysts. J Mid-life Health. 2016; 7(2): 78-82.
 
[3]  Smorgick N, Herman A, Schneider D, Halperin R, Pansky MParaovarian cysts of neoplastic origin are underreported. JSLS (2009);13(1): 22-26.
 
[4]  Bohîlțea RE, Cîrstoiu MM, Turcan N, Ionescu CA. Ultrasound diagnostic of mesonephric paraovarian cyst-case report. J Med Life. 2016; 9(3): 280-3.
 
[5]  Hernon M, McKenna J, Busby G, Sanders C, Garden A. The histology and management of ovarian cysts found in children and adolescents presenting to achildren’s hospital from 1991 to 2007: a call for more paediatric gynaecologists. BJOG: Int J Obstet Gynaecol. 2010; 117(2): 181-4.
 
[6]  Agarwal P, Agarwal P, Bagdi R, Balagopal S, Ramasundaram M, Paramaswamy B. Ovarian preservation in children for adenexal pathology, current trends in laparoscopic management and our experience. J Indian Assoc Pediatr Surg. 2014; 19(2): 65.
 
[7]  Genadry R, Parmley T, Woodruff JD: The origin and clinical behavior of the paraovarian tumor. Am J Obstet Gynecol, 1977; 129: 873-80.
 
[8]  Kajiyama A, Edo H, Takeya C, Kubushiro K et al. Spontaneously Ruptured Paraovarian Tumor of Borderline Malignancy with Extremely Elevated Serum Carbohydrate Antigen 125 (CA125) Levels: A Comparison of the Imaging and Pathological Features Am J Case Rep. 2017; 18: 919-925.
 
[9]  Kiseli M, Caglar GS, Cengiz SD et al: Clinical diagnosis and complications of paratubal cysts: Review of the literature and report of uncommon presentation. Arch Gynecol Obstet. 2012; 285: 1563-69.
 
[10]  Alaoui F, El Fatemi H, ChaaraH et al. Borderline paratubal cyst: a case report.Pan African Medical Journal. 2012; 13: 53.
 
[11]  Barlonn TJ, Brown BP, Abu-Yousef MM, Warnock NG: Paraovarian and para-tubal cysts: Preoperative diagnosis using transabdominal and transvaginal sonography. J Clin Ultrasound, 1996; 24: 117-22.
 
[12]  Stein AL, Koonings PP, Schlaerth JB et al: Relative frequency of malignant parovarian tumors: Should parovarian tumors be aspirated? Obstet Gynecol. 1990; 75: 1029-31.
 
[13]  Savelli L, Ghi T, De Iaco P, Ceccaroni M Et Al. Paraovarian /Paratubal cysts: comparaison of transvaginal sonographic and pathological findings to etablish diagnostic criteria. Ultrasound Obstet Gynecol. 2006; 28: 330-334.
 
[14]  Zhao SH, Qiang JW, Zhang GF et al: MRI appearances of ovarian serous borderline tumor: Pathological correlation. J Magn Reson Imaging. 2014; 40: 151-56.
 
[15]  Seamon LG, Holt CN, Suarez A, Richardson DL, Carlson MJ,O’Malley DM. Paratubal borderline serous tumors. Gynecol Oncol. 2009; 113(1):83-85.
 
[16]  Salamon C, Tornos C, Chi DS. Borderline Endometrioid tumor arising in a paratubal cyst: a case report. Gyn Oncol. 2005 97(1): 263-265.
 
[17]  Kumbak B, Celik H, Cobanoglu B, Gurates B. Paratubal borderline tumor incidentally found during cesarean section: Case report and review of literature. EJSO. 2010; 36: 789-91.
 
[18]  Terek MC, Sahin C, Yeniel AO, Ergenoglu M, Zekioglu O Paratubal borderline tumor diagnosed in the adolescent period: a case report and review of the literature. J Ped Adol Gyn. 2011; 24(5): 115-116.
 
[19]  Savelli L, Ghi T, De Iaco P, Ceccaroni M Et Al. Paraovarian /Paratubal cysts : comparaison of transvaginal sonographic and pathological findings to etablish diagnostic criteria. Ultrasound Obstet Gynecol. 2006; 28: 330-334.
 
[20]  Suzuki S, Furukawa S, Kyozuka H et al. Two cases of paraovarian tumor of borderline malignancy. J Obstet Gynaecol Res. 2012; 39(1): 437-441.
 
[21]  Seamon LG, Holt CN, Suarez A, Richardson DL, Carlson MJ,O’Malley DM. Paratubal borderline serous tumors. Gynecol Oncol. 2009; 113(1): 83-85.
 
[22]  NCCN Clinical practice guidelines in oncology. Ovarian cancer VI, 2008. National Comprehensive Cancer Network
 
[23]  Uzan C, Gouy S, Balleyguier C. Tumeurs borderline de l'ovaire. Imagerie de la femme. 2009; 19: 37-40.