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。.