title: Serous cystadenoma with massive ovarian edema. A case report and review of the literature.
abstract: BACKGROUND
  Massive ovarian edema is an usual tumour-like condition. It may be confused with an ovarian neoplasm.
  
  
  METHODS
  A 13-year-old female in premenarchy was referred as emergency case to a local hospital due to acute, severe and persistent hypogastric pain. She had noticed a gradual abdominal enlargement, mainly on the right abdomen during the last months. Ultrasound revealed a mass of a non-echogenic cystic compartment of 13 cm maximum diameter, and an area of mixed echogenicity of 11 cm maximum diameter at the anatomic site of the right ovary. The CA- 125 levels were increased. An unilateral salpingo-oophorectomy was performed. The pathology examination revealed serous cystadenoma with massive ovarian edema.
  
  
  CONCLUSIONS
  Conservative treatment and ovarian suspension may be more appropriate, when histology on frozen section suggests a benign lesion.
authors.affiliation: 3rd Department of Obstetrics Gynaecology, Athens Medical School, ATTIKON University Hospital, Athens, Greece. matoula_diam@yahoo.com
authors.forename: S
authors.initials: S
authors.lastname: Diamantopoulou
authors.forename: K
authors.initials: K
authors.lastname: Sikiotis
authors.forename: J
authors.initials: J
authors.lastname: Panayiotides
authors.forename: D
authors.initials: D
authors.lastname: Kassanos
mesh_terms: D000293:Adolescent; D018293:Cystadenoma, Serous / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000473:pathology* / Q000601:surgery; D010052:Ovariectomy