keyword
https://read.qxmd.com/read/38515195/clinicopathological-features-and-surgical-procedures-of-adnexal-masses-with-abdominal-pain-in-pediatric-and-adolescent-patients
#1
JOURNAL ARTICLE
Qian Liu, Zhiqiang Li, Huimei Zhou, Dongyan Cao, Jiaxin Yang, Keng Shen, Jinghe Lang
PURPOSE: This study investigated the clinicopathological features and surgical procedures of adnexal masses with abdominal pain in pediatric and adolescent patients. Our objective was to better define the clinical presentation of adnexal torsion and to distinguish characteristics of those with torsion and those with an alternate diagnosis. METHODS: Retrospective cohort study of 212 pediatric and adolescent patients was performed who admitted for abdominal pain and presenting with an adnexal mass between March 2012 to December 2019...
March 21, 2024: Orphanet Journal of Rare Diseases
https://read.qxmd.com/read/38487612/effectiveness-of-prophylactic-laparoscopic-surgery-for-benign-adnexal-mass-during-pregnancy-a-single-center-retrospective-study
#2
JOURNAL ARTICLE
Zaw Htet Naing, Rie Ozaki, Mari Kitade, Keisuke Murakami, Yu Kawasaki, Atsuo Itakura
OBJECTIVES: This study aimed to evaluate the effectiveness of prophylactic laparoscopic surgery for avoiding adnexal torsion in pregnant women with benign adnexal masses. MATERIALS AND METHODS: This report contains two analyses, each for a different group of patients. Analysis 1: Surgical and pregnancy outcomes were examined among the 126 cases who underwent laparoscopic assisted cystectomy for adnexal masses during pregnancy in our hospital between January 2001 and December 2020...
2024: Gynecology and Minimally Invasive Therapy
https://read.qxmd.com/read/38449876/low-grade-glioma-within-mature-cystic-teratoma-in-a-patient-with-anti-n-methyl-d-aspartate-receptor-encephalitis-a-case-report
#3
Wenwen Luo, Jinyue Zheng, Bojin Su
INTRODUCTION: Mature cystic teratoma (MCT) is a common type of ovarian tumors that can, in rare cases, undergo malignant transformation. It has been discovered that MCT patients may experience psychiatric symptoms due to the presence of anti-N-methyl-D-aspartate receptor (NMDAR) antibodies, which is the underlying cause of autoimmune encephalitis. Here, we present the first documented case of a patient with anti-NMDAR encephalitis who also had a morphology of low-grade glioma within MCT...
2024: Case Reports in Oncology
https://read.qxmd.com/read/38358219/invasive-micropapillary-carcinoma-of-the-breast-and-bilateral-ovarian-mature-cystic-teratoma-with-benign-brenner-tumor-in-a-postmenopausal-woman-an-uncommon-occurrence
#4
Pavithra Ayyanar, Suvradeep Mitra, Mohammed Imaduddin, Dillip K Muduly
The synchronous occurrence of bilateral ovarian tumors and breast malignancy often raise the suspicion of a Krukenberg tumor or a hereditary breast and ovarian cancer syndrome, both of which are uncommon in clinical practice. A 58-years-old postmenopausal woman had a right breast lump and was diagnosed as infiltrating duct carcinoma, no special type, and incidentally detected bilateral adnexal mass with the clinical suspicion of Krukenberg tumor. However, following the radical surgical excision of the right breast and bilateral ovaries, the right breast showed invasive micropapillary carcinoma (IMPC) while the ovaries showed mature cystic teratoma (MCT) with benign Brenner tumor...
2024: Indian Journal of Pathology & Microbiology
https://read.qxmd.com/read/38344139/lipoleiomyoma-a-potential-mimic-of-an-ovarian-dermoid-cyst-on-mri-a-case-report
#5
Fatima El Hassouni, Soumaya El Graini, Samia Sassi, Siham El Haddad, Lamiaa Rouas, Mounia El Youssfi
Uterine lipoleiomyomas are rare variants of uterine leiomyomas which is composed of adipocytes and smooth muscle cells. In this report, we describe the case of a 39-year-old patient who presented with persistent, isolated pelvic pain. Ultrasonography showed an oval, well-defined left ovarian mass. Computed tomography (CT) scanning showed a predominantly-fatty mass with tissular components, no calcifications and heterogeneously enhanced after injection, suggesting initially a mature teratoma. Magnetic resonance imaging (MRI) findings revealed a latero-uterine mass, suggesting the presence of a left ovarian dermoid cyst with a potentially-malignant fleshy component...
February 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38289795/immature-teratoma-in-pregnancy-a-case-report
#6
JOURNAL ARTICLE
Sapana Amatya Vaidya, Snigdha Rai, Anushree Jha
UNLABELLED: Immature teratoma is one of the rare malignant germ cell tumours presented in pregnancy. Here, we present 26-year-old pregnant women who had an incidental finding of left adnexal mass in an anomaly scan at 19 weeks of pregnancy. Laparotomy with peritoneal fluid cytology, left salpingo-oophorectomy and omental biopsy at 20 weeks of pregnancy revealed immature teratoma stage 1A, grade 2 in the histopathology report. However, she followed up with the metastatic mass in the pouch of Douglas at 30 weeks of pregnancy in magnetic resonance imaging despite being counselled for possible chemotherapy and surveillance...
September 1, 2023: JNMA; Journal of the Nepal Medical Association
https://read.qxmd.com/read/38179400/ovarian-teratoma-presenting-with-gliomatosis-peritonei-and-a-melange-of-symptoms-mimicking-ovarian-cancer-in-a-paediatric-patient
#7
Vishal Bahall, Lance De Barry, Rachael Sookdeo, Mickhaiel Barrow
Gliomatosis peritonei (GP) is a rare condition characterised by mature glial nodules that implant in the peritoneum, lymph nodes, or omentum. GP is typically associated with mature or immature ovarian teratomas and usually affects adolescent females. Although neuroglia may be a standard feature of mature ovarian teratomas, widespread peritoneal glial nodules, ascites, and pleural effusion are rare, particularly in the paediatric population. We report a case of a giant left mature ovarian teratoma associated with GP and omental splenunculus in a 12-year-old female who presented with constipation, an adnexal mass, ascites, pleural effusion, and elevated CA-125 levels...
December 2023: Curēus
https://read.qxmd.com/read/37986051/comparison-of-the-diagnostic-efficiency-between-the-o-rads-us-risk-stratification-system-and-doctors-subjective-judgment
#8
JOURNAL ARTICLE
Shan Zhou, Yuyang Guo, Lieming Wen, Jieyu Liu, Yaqian Fu, Fang Xu, Minghui Liu, Baihua Zhao
BACKGROUND: This study aimed to compare the diagnostic efficiency of Ovarian-Adnexal Reporting and Data System (O-RADS) and doctors' subjective judgment in diagnosing the malignancy risk of adnexal masses. METHODS: This was an analysis of 616 adnexal masses between 2017 and 2020. The clinical findings, preoperative ultrasound images, and pathological diagnosis were recorded. Each adnexal mass was evaluated by doctors' subjective judgment and O-RADS by two senior doctors and two junior doctors...
November 20, 2023: BMC Medical Imaging
https://read.qxmd.com/read/37852154/xanthogranulomatous-inflammation-of-the-female-genital-tract-an-11-year-single-institutional-study-of-40-cases
#9
JOURNAL ARTICLE
Parul Mehrotra, Gayatri Ravikumar
BACKGROUND AND OBJECTIVES: Xanthogranulomatous inflammation (XGI) is a rare form of chronic inflammation that affects the female genital tract (FGT). The absence of a standard lexicon in the literature has contributed to the relative obscurity of this condition. We attempt to study this lesion with its various clinicopathological associations. METHODOLOGY: We conducted an 11-year retrospective study of cases diagnosed with XGI of the FGT, analyzing relevant clinical and pathological parameters...
October 14, 2023: Annals of Diagnostic Pathology
https://read.qxmd.com/read/37814767/bilateral-ovarian-torsion-due-to-a-giant-mucinous-cystadenoma-contralateral-mature-teratoma-and-paratubal-cyst-in-a-young-adult
#10
Lucas J Betts, Kalley Johnson, Emma Bassette, Cameron Slife, Jimmy Khandalavala
Giant ovarian cysts (>10 cm) are rare due to the widespread use of routine imaging. However, in the absence of compressive symptoms, giant cysts remain a diagnostic challenge, especially in patients with larger body habitus. Complications of benign ovarian cysts are infrequent but can include torsion of the adnexa. Bilateral torsion is a rare emergency that can threaten a patient's future fertility. In this case, we report on a 24-year-old female with bilateral torsion due to a triad of adnexal masses including a 30 cm mucinous cystadenoma, a 10 cm mature teratoma, and an 8 cm paratubal cyst...
September 2023: Curēus
https://read.qxmd.com/read/37780078/fertility-preserving-surgery-in-a-young-nulligravid-woman-with-bilateral-coexistence-of-a-granulosa-cell-tumor-with-a-teratoma
#11
Pham Ba Nha, Pham Van Tuyen, Nguyen Viet Ha, Nguyen Thi Thu Phuong
BACKGROUND: The coexistence of a granulosa cell tumor with a teratoma is extremely rare and impossible to diagnose preoperatively. For most patients with advanced age and stage, the standard treatment is hysterectomy and bilateral salpingo-oophorectomy; however, fertility-preserving surgery should be considered for young nulligravid women. CASE: We present a case of a 24-year-old nulligravid female with bilateral adnexal masses, imaging findings of ovarian teratomas, and normal levels of tumor markers...
2023: Case Reports in Obstetrics and Gynecology
https://read.qxmd.com/read/37759238/ret-ptc-rearrangement-in-papillary-thyroid-carcinoma-arising-in-malignant-struma-ovarii-with-abdominal-wall-metastasis-and-cervical-thyroid-gland-a-case-report-and-review-of-the-literature
#12
JOURNAL ARTICLE
Maryam Kabootari, Reza Habibi Tirtashi, Azita Zadeh-Vakili, Maryam Zarkesh, Hossein Samadanifard, Shirin Haghighi, Fereidoun Azizi, Atieh Amouzegar
BACKGROUND: Struma ovarii refers to rare mature cystic teratomas containing at least 50% of thyroid tissue, and malignant transformation is known to be even rarer. The synchronous development of malignant struma ovarii and cervical thyroid carcinoma are also scarce and poorly understood due to limited data about molecular features. Here, we present the first report of RET/PTC 1 rearrangement in synchronous metastatic malignant struma ovarii to the abdominal wall and cervical thyroid cancer...
September 27, 2023: Thyroid Research
https://read.qxmd.com/read/37706405/laparoscopic-management-of-ovarian-cysts-during-pregnancy-under-urgent-situations
#13
JOURNAL ARTICLE
Fatemeh Tabatabaei, Seyedeh Tala Nabipour Hosseini, Reza Hajiyar
BACKGROUND: Majority of adnexal masses are incidental findings during pregnancy and resolve spontaneously. They may complicate pregnancy due to haemorrhage, cyst rupture and ovarian torsion. Laparoscopy is the preferred surgical intervention owing to shorter operative time, quicker recovery and lower post-operative pain. However, safety and feasibility of laparoscopic surgery in the management of ovarian cysts in pregnant women is challenging especially at advanced gestational ages and in urgent situations...
July 5, 2023: Journal of Minimal Access Surgery
https://read.qxmd.com/read/37685323/application-of-ultrasound-scores-subjective-assessment-simple-rules-risk-assessment-adnex-model-o-rads-to-adnexal-masses-of-difficult-classification
#14
JOURNAL ARTICLE
Mar Pelayo, Javier Sancho-Sauco, Javier Sánchez-Zurdo, Belén Perez-Mies, Leopoldo Abarca-Martínez, Mª Jesús Cancelo-Hidalgo, Jose Antonio Sainz-Bueno, Juan Luis Alcázar, Irene Pelayo-Delgado
BACKGROUND: Ultrasound features help to differentiate benign from malignant masses, and some of them are included in the ultrasound (US) scores. The main aim of this work is to describe the ultrasound features of certain adnexal masses of difficult classification and to analyse them according to the most frequently used US scores. METHODS: Retrospective studies of adnexal lesions are difficult to classify by US scores in women undergoing surgery. Ultrasound characteristics were analysed, and masses were classified according to the Subjective Assessment of the ultrasonographer (SA) and other US scores (IOTA Simple Rules Risk Assessment-SRRA, ADNEX model with and without CA125 and O-RADS)...
August 28, 2023: Diagnostics
https://read.qxmd.com/read/37581115/a-rare-case-of-squamous-cell-carcinoma-transformation-in-a-mature-cystic-teratoma-of-the-ovary
#15
Candra Novi Ricardo Sibarani, Hesty Duhita Permata, Ellis Fasta Martiana, Kevin Dominique Tjandraprawira, Caroline Viviana Hadinata
Mature cystic teratoma of the ovary is the most common ovarian neoplasm (10%-20%). These tumors are generally benign but may undergo malignant transformation, 80% of which is squamous cell carcinoma, in postmenopausal women (1%-2%). Due to nonspecific findings, the preoperative diagnosis is challenging; most patients are detected at an advanced stage and have poor outcomes. A 40-year-old female, P2A0, complained of worsening lower abdominal pain and palpable abdominal mass. She had not been having menstrual periods for almost 4 months...
2023: SAGE Open Medical Case Reports
https://read.qxmd.com/read/37566672/mature-cystic-teratoma-mimics-heterotopic-pregnancy-on-sonograph
#16
Peter Wilson, Ashley Durant, Katherine Degen
INTRODUCTION: Mature cystic teratomas (MCTs) present clinically with a wide host of different symptomatic manifestations. Because they are often comprised of multiple tissue types, imaging can also take on many different forms making the diagnosis of MCT difficult in certain situations. In this case, we present a patient who had a MCT that mimicked a heterotopic pregnancy on sonograph. CASE PRESENTATION: A 21-year-old female G1P0 at approximately six weeks gestation by last menstrual period presented to the emergency department with a chief complaint of vaginal bleeding that began the previous day...
April 2023: South Dakota Medicine: the Journal of the South Dakota State Medical Association
https://read.qxmd.com/read/37417850/voluminous-bilateral-adnexal-cysts-in-a-young-female-the-challenge-of-fertility-preservation
#17
Diana Rodrigues-Martins, Fabiana Castro, Fernanda Costa, Diana Melo Castro
An ovarian benign cyst is a common finding in women of reproductive age. However both the disease and its treatment may have an impact on ovarian reserve, resulting in a significant risk of premature ovarian insufficiency. The counselling on fertility preservation is of paramount importance in such cases. We report the management of a young woman with giant bilateral benign adnexal cysts, highlighting the complexity of fertility preservation in such scenario.
July 7, 2023: JBRA Assisted Reproduction
https://read.qxmd.com/read/37288200/adnexal-torsion-of-a-mature-cystic-ovarian-teratoma-with-hemorrhagic-infarction-misdiagnosed-as-pelvic-inflammatory-disease-in-a-perimenopausal-patient-a-case-report
#18
Efthymia Thanasa, Anna Thanasa, Emmanouil M Xydias, Apostolos C Ziogas, Evangelos Kamaretsos, Ioannis Paraoulakis, Vasiliki Grapsidi, Ektoras-Evangelos Gerokostas, Gerasimos Kontogeorgis, Ioannis Thanasas
Mature cystic teratomas are common benign ovarian tumors. They usually occur in young women, less than 40 years old. Our case report concerns a patient of perimenopausal age who came to the hospital complaining about mild abdominal pain, fever below 37.8°C, and diarrhea. The patient had an intrauterine contraceptive device inserted. Based on the clinical findings and imaging, a possible diagnosis of pelvic inflammatory disease was set, and intravenous administration of broad-spectrum antibiotics started immediately...
May 2023: Curēus
https://read.qxmd.com/read/37218245/rare-association-of-epidermoid-cyst-of-ovary-with-mucinous-cystadenoma-a-case-report
#19
Zunaira Qayoom, Nausheen Yaqoob
Epidermoid cyst is a rare benign neoplasm of the ovary, lined by stratified squamous epithelium, lacking skin, adnexal structures, and other teratomatous elements. On the other hand, mucinous cystadenoma is one of the most common benign ovarian neoplasm that microscopically shows cystic areas lined by tall columnar mucinous epithelium. Although its coexistence with other tumours, such as mature cystic teratoma, squamous cell carcinoma, clear cell adenocarcinoma, Brenner's tumour, serous cystadenoma, etc., have been reported, a combination of benign epidermoid cyst and mucinous cystadenoma has rarely been documented in literature...
May 2023: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/37113339/an-ovarian-teratoma-mimicking-complicated-acute-appendicitis-a-case-report-and-literature-review
#20
Mihindukulasuriya Yvonne Presadini Pinto, Graham Hool
Acute appendicitis is one of the most common causes of right iliac fossa (RIF) pain in the younger population. However, multiple other pathologies presenting with RIF pain can mimic acute appendicitis. In the female gender, the differentials for RIF pain are broader. Multiple pathologies can present with similar symptomatology that can mimic acute appendicitis, leading to an incorrect diagnosis, unnecessary surgical interventions, and complications. In females of reproductive age, gynaecological causes can present similarly...
March 2023: Curēus
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