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Epithelial ovarian tumors in a premenarchal girl: a rare case report

대한산부인과학회지 2017년 60권 5호 p.469 ~ 472
 ( Ojha Pushpanjali ) - Andaman & Nicobar Islands Institute of Medical Sciences Department of Pathology

 ( Nigam Jitendra Singh ) - Andaman & Nicobar Islands Institute of Medical Sciences Department of Pathology
 ( Deshpande Archana Hemant ) - Andaman & Nicobar Islands Institute of Medical Sciences Department of Pathology
 ( Gargade Chitrawati Bal ) - Andaman & Nicobar Islands Institute of Medical Sciences Department of Pathology

Abstract


Ovarian tumors are relatively uncommon in paediatric age group and mostly occur in the period after menarche and are extremely rare prior to menarche. However, in children and adolescent, the epithelial ovarian tumors account approximately 10% to 28% of all ovarian tumors. In the present case, the patient was presented with abdominal pain for 1 day and no mass was felt on physical examination. Contrast-enhance computed tomography abdomen and pelvis showed a left ovarian cystic mass measuring 7.3×5.1 cm in size and unilateral oophorectomy was done. Tumor shows multiloculated cysts of varying sizes filled with mucinous fluid. Cysts were lined by tall columnar epithelial cells and show predominantly periodic acid-Schiff positive neutral mucin favouring benign nature of lesion. We present this case due to its uncommon age of presentation and the patient was premenarchal girl.

키워드

Ovarian neoplasm; Glandular neoplasm; Periodic acid-Schiff reaction; Alcian blue; Fertility
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