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A Case of Mucinous Cystadenocarcinoma in a Premenarchal Girl.

Journal of the Korean Pediatric Society 1990;33(1):124-128.
Published online January 31, 1990.
A Case of Mucinous Cystadenocarcinoma in a Premenarchal Girl.
Hong Hoe Koo1, Sang Oh Na1, In Sang Jeon1, Hyo Seop Ahn1, Wan Suk Park2, Suk Koo Lee2, Kwi Won Park2, Chong Jai Kim3, Je Geun Chi3
1Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
2Department of Pediatric Surgery, College of Medicine, Seoul National University, Seoul, Korea
3Department of Pathology, College of Medicine, Seoul National University, Seoul, Korea
초경전 소아에서의 난소의 점액성 낭선암종 1례
구홍희1, 나상오1, 전인상1, 안효섭1, 박완석2, 이석구2, 박귀원2, 김종재3, 지제근3
1서울대학교 의과대학 소아과학교실
2서울대학교 의과대학 소아외과학교실
3서울대학교 의과대학 해부병리과학교실
Received: 3 September 1989   • Accepted: 3 September 1989
In childhood, cancer of the ovary is highly unusual. It is responsible for only 1—2% of cancers found in patients under the age of 17. The frequency with which the various histologic types of ovarian neoplasm occur in childhood differs from that in adults. Epithelial tumors account for 70% to 80% of ovarian neoplasms in adults but only 20% in patients less than 20 years of age. The vast majority of ovarian epithelial tumors in childhood and adolescence are benign, so that a malignant ovarian epithelial neoplasm is extremely rare in the premenachal female. We have experienced a case of a mucinous cystadenocarcinoma in a premenarchal child. She had one-month history of vague abdominal discomfort and increasing abdominal girth. Physical examina- tion revealed a soft, smooth, mobile, fetal head-sized abdominopelvic mass. Abdominal ultrasonogra- phy showed an irregular thin walled huge pelvic mass with mixed echogenicity. At laparotomy, the patient had no ascites. A 23 x 15 x 13 cm smooth, cystic left adnexal mass was removed. The cut surface revealed solid and cystic portions filled with variable amount of chocolate colored fluid. A histologic diagnosis was mucinous cystadenocarcinoma. She was treated with unilateral salpingo- oophorectomy with subsequent survival and apparently normal menarche at 4 months after operation. She has no evidence of disease after 12 months of follow-up with chest P-A, abdominal ultrasonogrpa- hy and CA 125 value. A brief review of the literature was made.
Key Words: Ovarian Neoplasm, Cystadenocarcinoma, Premenarche

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