Giant follicular cyst in a teenage girl


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Abstract

Background. According to different authors, in the pattern of gynecological morbidity in children and adolescents, the proportion of ovarian tumors and tumor-like masses varies widely from 1 to 19.2%, and the overwhelming majority of these are benign. Tumor-like masses (50- 60%) are rather more common than ovarian tumors (40- 49.5%), whereas giant ovarian neoplasms are rare. There are found publications that the giant ovarian mass is inherently cystadenoma that sometimes reaches the size of the uterus with a full-term fetus. A giant ovarian follicular cyst is very rarely mentioned. Case report. The paper describes a rare clinical case of a giant follicular ovarian cyst in a 14-year-old girl. A mass of 35 cm in diameter was found due to the increased abdominal size in the teenager; a follicular ovarian cyst was conf irmed histologically. Clinical features and management tactics are analyzed in comparison to the data currently available in the literature on giant ovarian masses in childhood. Conclusion. The described clinical case proves the importance of regular preventive examinations, including complex ultrasound examination in teenage girls, in order to early diagnose ovarian mass and to timely perform organ-sparing surgery.

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About the authors

Stanislav O. Kyurdzidi

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: dr.kyurdzidis@gmail.com
postgraduate student

Elena P. Khashchenko

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: khashchenko_elena@mail.ru
PhD, Researcher of Gynecology of children and adolescents Department

Elena V. Uvarova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: elena-uvarova@yandex.ru
M.D., Professor, Corresponding Member of the RAS, Head of the Department of Pediatric and Adolescent Gynecology (2nd Gynecological Department)

Vladimir D. Chuprynin

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: v_chuprynin@oparina4.ru
PhD/Med, head of the Surgery department

Aleksandra V. Asaturova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Doctor of medicine, Principal Investigator

Anna V. Tregubova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: a_tregubova@oparina4.ru
junior scientific researcher, Ith Pathology department

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