A 9-kg ovarian mucinous cystadenoma in a 14-year-old premenarchal girl.

PATIENT: Female, 14. FINAL DIAGNOSIS: Ovarian mucinous cystadenoma. SYMPTOMS: Abdominal enlargement • abdominal pain • constipation. MEDICATION: -. CLINICAL PROCEDURE: -. SPECIALTY: Obstetrics and Gynecology. OBJECTIVE: Rare disease. BACKGROUND: Although ovarian tumors are most commonly observed in adults, they relatively rarely occur in children. The majority of ovarian masses encountered in the premenarchal or childhood stages are non-neoplastic lesions such as benign functional cysts. Epithelial tumors account for 8-10% of all ovarian tumors and are histologically classified as mucinous or serous. The most common benign epithelial ovarian tumor is cystadenoma. CASE REPORT: We report the case of a 14-year-old premenarchal girl with chronic abdominal pain, constipation, and abdominal enlargement. A computed tomography detected a huge left ovarian cystic tumor. A 9-kg ovarian tumor was removed surgically. Pathology showed a benign mucinous cystadenoma (MCA). CONCLUSIONS: Ovarian neoplasms in children present a diagnostic quandary, and very often the diagnoses are missed or delayed. When the diagnosis is made, a prompt and fertility-preserving surgical treatment must be performed and followed to prevent recurrence.

Multifocal tumoral calcinosis in a 4-year-old girl.

PATIENT: Female, 4 FINAL DIAGNOSIS: Tumoral calcinosis Symptoms: Hard immobile mass Medication: - Clinical Procedure: - Specialty: Surgery. OBJECTIVE: Congenital defects. BACKGROUND: Tumoral calcinosis is an uncommon condition associated with the deposition of painless calcific masses. It is more common in childhood or early adolescence of African-American females. CASE REPORT: We present a case of a 4-year-old girl with tumoral calcinosis treated surgically. The case is rather rare in terms of the age of the patient and the localization of the masses (gluteal site). In our patient, the biochemical findings were normal, except for hyperphosphatemia and elevated alkaline phosphatase. CONCLUSIONS: Total excision appears to lead to a good clinical outcome and a low incidence of local relapse.