title: Paratubal Borderline Malignancy: A Case of a 17-Year-Old Adolescent Female Treated with Laparo-Endoscopic Single-Site Surgery and a Review of the Literature.
abstract: BACKGROUND
  Although paratubal cysts are common, borderline paratubal cysts are extremely rare. We describe the case of a large borderline paratubal cyst in a 17-year-old adolescent female treated with laparo-endoscopic single-site surgery (LESS), and review the literature.
  
  
  METHODS
  A 17-year-old female was referred due to a large right adnexal cyst on pelvic sonogram. A CT scan showed a 19-cm cystic lesion with enhancing papillary projection along the wall. Laparo-endoscopic single-site surgery confirmed a large cystic mass that originated from the right salpinx. Right salpingectomy and right ovarian wedge resection were performed, and intraoperative frozen section analysis was conducted. The result of the frozen section analysis and final pathologic review indicated that the cyst was a serous papillary-type borderline tumor in a paratubal cyst.
  
  
  CONCLUSIONS
  To the best of our knowledge, this is the first case report of a BPC treated with LESS. We suggest that minimally invasive, fertility-preserving surgery should be considered as a standard treatment of borderline paratubal cysts if patients desire future fertility.
authors.affiliation: Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
authors.forename: Sanghoon
authors.initials: S
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
authors.forename: Ki Hoon
authors.initials: KH
authors.lastname: Ahn
authors.affiliation: Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea. Electronic address: cyberpelvis@naver.com.
authors.forename: Hyun Tae
authors.initials: HT
authors.lastname: Park
authors.affiliation: Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
authors.forename: Soon Cheol
authors.initials: SC
authors.lastname: Hong
authors.affiliation: Department of Pathology, Korea University College of Medicine, Seoul, Korea.
authors.forename: Yoo Jin
authors.initials: YJ
authors.lastname: Lee
authors.affiliation: Department of Pathology, Korea University College of Medicine, Seoul, Korea.
authors.forename: In Sun
authors.initials: IS
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
authors.forename: Tak
authors.initials: T
authors.lastname: Kim
mesh_terms: D000293:Adolescent; D018293:Cystadenoma, Serous / Q000473:pathology / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D059247:Fertility Preservation; D006801:Humans; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D010053:Ovary / Q000601:surgery; D010310:Parovarian Cyst / Q000175:diagnosis / Q000601:surgery*; D010388:Pelvis / Q000000981:diagnostic imaging; D058994:Salpingectomy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
keywords: Adolescent; Borderline; LESS; Malignancy; Paratubal