Background

Paraovarian/paratubal cysts constitute 5-20% of all adnexal lesions and typically originate from the paramesonephric or Müllerian duct. The primary epithelial tumors arising from paraovarian cysts account for 25% of the cases, but giant cystadenomas of paraovarian origin are extremely uncommon during childhood and adolescence with very few cases reported in the literature.

Case

We present the case of a 15-year-old female that presented with a bulky mass in the abdomen and pelvis. An initial clinical and radiological examination indicated an ovarian cyst measuring ∼25 × 20 cm. However, explorative laparotomy revealed a giant paratubal cyst that was successfully treated with complete excision using fertility-sparing surgery. Histopathological examination was consistent with a serous cystadenoma. The postoperative course was uneventful and the girl was discharged on the seventh postoperative day. At the follow-up of 6 months, the patient was doing well.

中文翻译：

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青春期女性巨管旁浆液性膀胱腺瘤：病例报告及文献复习。

背景

卵巢旁/管旁囊肿占所有附件病变的5-20％，通常起源于中肾旁或缪勒管。由卵巢旁囊肿引起的原发性上皮肿瘤占病例的25％，但在儿童和青春期，巨大的卵巢旁囊肿性腺瘤很少见，文献报道的病例很少。

案件

我们介绍了一名15岁女性的腹部和骨盆肿块的病例。初步的临床和放射学检查表明卵巢囊肿约25×20 cm。然而，探查性剖腹术发现巨大的输卵管旁囊肿已通过保留生育力的手术完全切除成功治疗。组织病理学检查与浆液性囊腺瘤一致。术后过程平稳，女孩在术后第七天出院。在6个月的随访中，患者情况良好。