Laparoscopic treatment of giant ovarian cystic tumors in children: Case report.

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Medicine Pub Date : 2025-06-20 DOI:10.1097/MD.0000000000042920

Huashan Zhao, Shumin Zhao, Shisong Zhang, Rui Guo, Hongxiu Xu, Sai Huang, Gang Shen, Yunpeng Zhai

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引用次数: 0

Abstract

Rationale: Ovarian cystic tumors are common in adult women. However, cases of ovarian cystic tumors approximately 30 cm in diameter are rarely reported in adult women and even rarer in children. Here, we report a rare case of a giant ovarian cystic tumor in a 13-year-old girl.

Patient concerns: A 13-year-old girl was admitted to hospital with abdominal pain and distension for 7 days. The parents felt anxious about the child's abdominal lesions and requested laparoscopic surgery.

Diagnoses: After evaluation at our hospital, abdominal color ultrasound and enhanced computer tomography revealed a large sac-like fluid density shadow with clear edges in the abdomen, approximately 38 cm × 35 cm × 24 cm in size. We performed a laparoscopic resection of the cystic ovarian tumor, which was pathologically confirmed as a benign ovarian tumor.

Interventions: Subsequently, laparoscopic exploration revealed a huge cystic tumor originated from the right ovary with a clear boundary between the tumor and the right ovary.

Outcomes: Laparoscopic surgery was used to remove the lesion, and the postoperative recovery and follow-up were uneventful.

Lessons: Cases of ovarian cystic tumors with a diameter of approximately 30 cm are very rare in pediatric patients. Laparoscopic surgery is an essential method for the diagnosis and treatment of giant ovarian cystic tumors and can be used as a first-line treatment.

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腹腔镜治疗儿童巨大卵巢囊性肿瘤1例。

理由：卵巢囊性肿瘤常见于成年女性。然而，直径约30厘米的卵巢囊性肿瘤在成年女性中很少报道，在儿童中更罕见。在此，我们报告一例罕见的巨大卵巢囊性肿瘤，发生于一位13岁的女孩。患者关注：一名13岁女孩因腹痛和腹胀入院7天。父母对孩子的腹部病变感到焦虑，要求进行腹腔镜手术。诊断：经我院检查，腹部彩超及增强计算机断层扫描示腹部大囊状液体密度影，边缘清晰，大小约38 cm × 35 cm × 24 cm。我们行腹腔镜切除卵巢囊性肿瘤，病理证实为良性卵巢肿瘤。干预措施：随后腹腔镜检查发现一巨大的囊性肿瘤起源于右卵巢，肿瘤与右卵巢边界清晰。结果：采用腹腔镜手术切除病变，术后恢复及随访顺利。经验教训：卵巢囊性肿瘤直径约30厘米是非常罕见的儿科患者。腹腔镜手术是诊断和治疗巨大卵巢囊性肿瘤的重要手段，可作为一线治疗手段。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicine 医学-医学：内科

CiteScore

2.80

自引率

0.00%

发文量

4342

审稿时长

>12 weeks

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