“Tumor anexial en paciente adolescente”

Abstract

Ovarian lesions represent a wide range of pathologies; they range from functional cysts to highly aggressive tumors. About 35% of these lesions in adolescent age are malignant and represent approximately 1% to 1.5% of all cancers at that age. They manifest themselves nonspecifically; sudden pelvic-abdominal pain, mass sensation, precocious puberty caused by endocrine abnormalities or asymptomatic behavior and be the casual finding to the clinical or imaging examination. Its diagnosis, in particular, that of malignant etiology occurs late given the low index of suspicion and the unspecific symptoms, in addition, a subsequent pathological study needed. This case corresponds to a 14-year-old adolescent with a history of mild hepatic steatosis and polycystic ovaries of casual diagnosis without treatment that came due to a history of pelvic-abdominal colic pain for 5 days accompanied by nausea and vomiting. Imaging studies demonstrate large mass in the pelvic cavity without altering tumor markers; In stable conditions, an exploratory laparotomy is performed, evidencing the right Ovarian Cyst of approximately 10 x 8 centimeters, polycystic left ovary and tubes and uterus of normal size and macroscopic characteristics. Right ovarian cystectomy is performed without oophorectomy and without complications during or after surgery with favorable evolution.