A huge ovarian mucinous cystadenoma associated with contralateral teratoma and polycystic ovary syndrome in an obese adolescent girl

Asia Pac J Clin Nutr. 2016 Dec;25(4):920-923. doi: 10.6133/apjcn.092015.49.

Abstract
in En , Chinese

A 13-year-old, obese girl presented with acute abdominal pain with abdominal distension for a year. The physical examination revealed marked abdominal distension with a large well-circumscribed mass sized 13×20 cm. Her body mass index (BMI) was 37.8 kg/m2. An abdominal CT scan revealed a huge multiloculated cystic mass and a left adnexal mass. She had an abnormal fasting plasma glucose and low HDL-C. Laparotomy, right salpingooophorectomy, left cystectomy, lymph node biopsies and partial omentectomy were performed. The left ovary demonstrated multiple cystic follicles over the cortex. The histologic diagnosis was a mucinous cystadenoma of the right ovary and a matured cystic teratoma of the left ovary. Both obesity and polycystic ovary syndrome (PCOS) are associated with a greater risk of ovarian tumours, where PCOS could be either the cause or as a consequence of an ovarian tumour. We report an obese, perimenarchal girl with bilateral ovarian tumours coexistent with a polycystic ovary and the metabolic syndrome.

一个13 岁肥胖女孩腹胀一年,急性腹痛入院。体格检查发现明显腹胀,有一个 尺寸为13×20 cm 边界清楚的肿块。她的体质指数为37.8 kg/m2。腹部CT 扫描 发现一个巨大的多腔囊性肿块和左侧附件有一包块。她的空腹血糖异常,HDLC 低。进行剖腹探查,右侧输卵管卵巢切除术,左囊切除术,淋巴结活检和部 分网膜切除术。左侧卵巢皮质发现多个囊性卵泡。组织学诊断为右侧卵巢粘液 性囊腺瘤和左侧卵巢成熟囊性畸胎瘤。肥胖和多囊卵巢综合症与卵巢肿瘤高风 险有关,而多囊卵巢综合征可能是卵巢肿瘤的原因或是结果。我们报告了一个 肥胖、围初潮期女孩,双侧卵巢肿瘤合并多囊卵巢综合征和代谢综合征。.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain
  • Adolescent
  • Cystadenoma, Mucinous / complications
  • Cystadenoma, Mucinous / pathology*
  • Cystadenoma, Mucinous / surgery
  • Female
  • Humans
  • Metabolic Syndrome / complications
  • Obesity / complications*
  • Ovarian Neoplasms / complications
  • Ovarian Neoplasms / pathology*
  • Ovarian Neoplasms / surgery
  • Polycystic Ovary Syndrome / complications*
  • Polycystic Ovary Syndrome / pathology
  • Polycystic Ovary Syndrome / surgery
  • Teratoma / complications
  • Teratoma / pathology*
  • Teratoma / surgery
  • Tomography, X-Ray Computed