CERVICAL NEOPLASM IN ADOLESCENCE: A DIFFICULT DIAGNOSIS?


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Abstract

Background. Tumors of the external genital organs, vagina, and uterus are rare in childhood and adolescence (8% of all tumors and tumor-like masses of the uterine appendages). Space occupying lesions of the genital organs in girls average 1.5 to 2% of all neoplasms in children of both sexes and tenths of a percent for all cases of female reproductive system tumors. As a rule, they are malignant (sarcoma of the vagina, cervix, or corpus uteri) and primarily manifest themselves as vaginal bleeding that serves as the leading symptom of the disease. When vaginal bleeding appears in young girls, their parents usually quickly go to a doctor. However, girls of early reproductive age seek no medical advice for a long time, and this often leads to the disease being diagnosed at an advanced stage. Case report. The paper describes a clinical case of a teenage girl with benign cervical neoplasm that has been undetected in time, causing multiple recurrences of the disease. Conclusion. Abnormal uterine bleeding in puberty, as well as in all other periods of a woman’s life, requires vaginoscopy in order to exclude vaginal and cervical neoplasms that are rare, but are, nevertheless, possible causes of recurrent vaginal bleeding in girls.

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About the authors

Zaira Kh. KUMYKOVA

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

Email: zai-kumykova@yandex.ru
PhD, senior researcher at the Department of Pediatric and Adolescent Gynecology Moscow, Russia

Elena V. UVAROVA

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

Email: elena-uvarova@yandex.ru
Corresponding member of RAS, Dr. Med. Sci., Professor, Head of the Department of Pediatric and Adolescent Gynecology Moscow, Russia

Zalina K. BATYROVA

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

Email: linadoctor@mail.ru
PhD, senior researcher at the Department of Pediatric and Adolescent Gynecology Moscow, Russia

Aleksandra V. ASATUROVA

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

Email: a.asaturova@gmail.com
PhD, Head of the Department of Pathomorphology Moscow, Russia

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, Head of the Department of Surgery Moscow, Russia

Fatima Sh. MAMEDOVA

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

Email: f_mamedova@oparina4.ru
PhD, doctor at the Department of Visual Diagnostic in Pediatricion Moscow, Russia

Larisa S. EZHOVA

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

Email: l_ezhova@oparina4.ru
senior researcher at the Department of Pathomorphology Moscow, Russia

Irina L. UKOLOVA

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

Email: clinika@rdkb.ru
PhD, associate Professor of the Department of Endocrinology of the Pediatric Faculty Moscow, Russia

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