title: A huge ovarian mucinous cystadenoma associated with contralateral teratoma and polycystic ovary syndrome in an obese adolescent girl.
abstract: A 13-year-old, obese girl presented with acute abdominal pain with abdominal distension for a year. The physical examination revealed marked abdominal distension with a large well-circumscribed mass sized 13×20 cm. Her body mass index (BMI) was 37.8 kg/m2. An abdominal CT scan revealed a huge multiloculated cystic mass and a left adnexal mass. She had an abnormal fasting plasma glucose and low HDL-C. Laparotomy, right salpingooophorectomy, left cystectomy, lymph node biopsies and partial omentectomy were performed. The left ovary demonstrated multiple cystic follicles over the cortex. The histologic diagnosis was a mucinous cystadenoma of the right ovary and a matured cystic teratoma of the left ovary. Both obesity and polycystic ovary syndrome (PCOS) are associated with a greater risk of ovarian tumours, where PCOS could be either the cause or as a consequence of an ovarian tumour. We report an obese, perimenarchal girl with bilateral ovarian tumours coexistent with a polycystic ovary and the metabolic syndrome.
authors.affiliation: Department of Pediatrics, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand. Email: thaweekul@gmail.com; maybemay@yahoo.com.
authors.forename: Patcharapa
authors.initials: P
authors.lastname: Thaweekul
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.
authors.forename: Yuthadej
authors.initials: Y
authors.lastname: Thaweekul
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.
authors.forename: Karicha
authors.initials: K
authors.lastname: Mairiang
mesh_terms: D015746:Abdominal Pain; D000293:Adolescent; D018291:Cystadenoma, Mucinous / Q000150:complications / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D024821:Metabolic Syndrome / Q000150:complications; D009765:Obesity / Q000150:complications*; D010051:Ovarian Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D011085:Polycystic Ovary Syndrome / Q000150:complications* / Q000473:pathology / Q000601:surgery; D013724:Teratoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed