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Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review

Mature cystic teratomas, also called dermoid cysts, are the most common germ-cell ovarian neoplasms in children. On average, ovarian dermoid cysts are slow-growing neoplasms with a mean size between 6.4 and 7.0 cm that enlarge at a rate of 1.8 mm/year; however, these can reach large dimensions. Gian...

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Autores principales: Barragán-Curiel, Adolfo Eduardo, Murillo-Zepeda, Carlos, Castro-Perez, Karla Fernanda, Alcalá-Aguirre, Francisco Omar, Diaz-Montoya, Lilian Sabinne, Ruiz-Félix, Omar Alfonso, Acevedo-Delgado, José Antonio, Velasco-Preciado, Moyra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601794/
https://www.ncbi.nlm.nih.gov/pubmed/37900852
http://dx.doi.org/10.1159/000534141
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author Barragán-Curiel, Adolfo Eduardo
Murillo-Zepeda, Carlos
Castro-Perez, Karla Fernanda
Alcalá-Aguirre, Francisco Omar
Diaz-Montoya, Lilian Sabinne
Ruiz-Félix, Omar Alfonso
Acevedo-Delgado, José Antonio
Velasco-Preciado, Moyra
author_facet Barragán-Curiel, Adolfo Eduardo
Murillo-Zepeda, Carlos
Castro-Perez, Karla Fernanda
Alcalá-Aguirre, Francisco Omar
Diaz-Montoya, Lilian Sabinne
Ruiz-Félix, Omar Alfonso
Acevedo-Delgado, José Antonio
Velasco-Preciado, Moyra
author_sort Barragán-Curiel, Adolfo Eduardo
collection PubMed
description Mature cystic teratomas, also called dermoid cysts, are the most common germ-cell ovarian neoplasms in children. On average, ovarian dermoid cysts are slow-growing neoplasms with a mean size between 6.4 and 7.0 cm that enlarge at a rate of 1.8 mm/year; however, these can reach large dimensions. Giant ovarian tumors are defined as those having a maximum diameter equal to or more than 15 cm; these represent a therapeutic challenge as they increase the risk of wide wound size and surgical invasiveness. In this paper, we present a case of a 10-year-old Hispanic female that complained of abdominal pain, distension, and nausea. Physical examination revealed a mass on the left side of the abdomen and an axial computed tomography found a large pelvic tumor extending to the abdominal region. After a laparotomy approach, pathology evaluation confirmed the diagnosis of mature cystic teratoma. The patient recovered thoroughly and had no complications at a 6-month follow-up. We conducted a literature review including English and Spanish reports about giant ovarian teratomas; we retrieved 16 cases from 2003 to 2023. We concluded that giant ovarian tumors may be underreported, particularly in resource-limited areas where tumors might grow unrecognized, and that English-language bias might play a substantial role in literature reviews involving case reports and case series.
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spelling pubmed-106017942023-10-27 Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review Barragán-Curiel, Adolfo Eduardo Murillo-Zepeda, Carlos Castro-Perez, Karla Fernanda Alcalá-Aguirre, Francisco Omar Diaz-Montoya, Lilian Sabinne Ruiz-Félix, Omar Alfonso Acevedo-Delgado, José Antonio Velasco-Preciado, Moyra Case Rep Oncol Case Report Mature cystic teratomas, also called dermoid cysts, are the most common germ-cell ovarian neoplasms in children. On average, ovarian dermoid cysts are slow-growing neoplasms with a mean size between 6.4 and 7.0 cm that enlarge at a rate of 1.8 mm/year; however, these can reach large dimensions. Giant ovarian tumors are defined as those having a maximum diameter equal to or more than 15 cm; these represent a therapeutic challenge as they increase the risk of wide wound size and surgical invasiveness. In this paper, we present a case of a 10-year-old Hispanic female that complained of abdominal pain, distension, and nausea. Physical examination revealed a mass on the left side of the abdomen and an axial computed tomography found a large pelvic tumor extending to the abdominal region. After a laparotomy approach, pathology evaluation confirmed the diagnosis of mature cystic teratoma. The patient recovered thoroughly and had no complications at a 6-month follow-up. We conducted a literature review including English and Spanish reports about giant ovarian teratomas; we retrieved 16 cases from 2003 to 2023. We concluded that giant ovarian tumors may be underreported, particularly in resource-limited areas where tumors might grow unrecognized, and that English-language bias might play a substantial role in literature reviews involving case reports and case series. S. Karger AG 2023-10-06 /pmc/articles/PMC10601794/ /pubmed/37900852 http://dx.doi.org/10.1159/000534141 Text en © 2023 The Author(s). Published by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Barragán-Curiel, Adolfo Eduardo
Murillo-Zepeda, Carlos
Castro-Perez, Karla Fernanda
Alcalá-Aguirre, Francisco Omar
Diaz-Montoya, Lilian Sabinne
Ruiz-Félix, Omar Alfonso
Acevedo-Delgado, José Antonio
Velasco-Preciado, Moyra
Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review
title Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review
title_full Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review
title_fullStr Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review
title_full_unstemmed Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review
title_short Giant Mature Ovarian Cystic Teratoma in a Pediatric Patient: Case Report and Literature Review
title_sort giant mature ovarian cystic teratoma in a pediatric patient: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601794/
https://www.ncbi.nlm.nih.gov/pubmed/37900852
http://dx.doi.org/10.1159/000534141
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