Uterus-like ovarian mass presenting near menarche.
An eleven year-old girl presented with right lower quadrant abdominal pain near menarche that coincided with the onset of her most recent menstrual period. A smooth-lined cystic structure with a thick wall was discovered in the right adnexa at surgery that was adherent to a multicystic ovary and a dilated fallopian tube. Histologic examination determined the lesion to be a uterus-like ovarian mass. The patient had a history of a resected right pelvic kidney at four months of age. This case is believed to represent a congenital malformation of the urogenital system rather than smooth muscle metaplasia of ovarian stromal cells.
Shutter
Jamie
J
Department of Pathology, Columbia University Medical Center, New York, New York 10032, USA. JShutter17@hotmail.com
D015746:Abdominal Pain; D002648:Child; D004717:Endometrium / Q000473:pathology; D005187:Fallopian Tubes / Q000473:pathology; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities / Q000601:surgery; D008572:Menarche; D010048:Ovarian Cysts / Q000150:complications / Q000473:pathology; D010053:Ovary / Q000473:pathology*; D014564:Urogenital Abnormalities / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014599:Uterus