Obstetrics & Gynecology Science  2017;60(5):469-472

doi:10.5468/ogs.2017.60.5.469

Epithelial ovarian tumors in a premenarchal girl: a rare case report.

Pushpanjali OJHA 1 ; Jitendra Singh NIGAM ; Archana Hemant DESHPANDE ; Chitrawati Bal GARGADE

Affiliations

+expand

Keywords

Ovarian neoplasm; Glandular neoplasm; Periodic acid-Schiff reaction; Alcian blue; Fertility

Country

Republic of Korea

Language

English

Abstract

Ovarian tumors are relatively uncommon in paediatric age group and mostly occur in the period after menarche and are extremely rare prior to menarche. However, in children and adolescent, the epithelial ovarian tumors account approximately 10% to 28% of all ovarian tumors. In the present case, the patient was presented with abdominal pain for 1 day and no mass was felt on physical examination. Contrast-enhance computed tomography abdomen and pelvis showed a left ovarian cystic mass measuring 7.3×5.1 cm in size and unilateral oophorectomy was done. Tumor shows multiloculated cysts of varying sizes filled with mucinous fluid. Cysts were lined by tall columnar epithelial cells and show predominantly periodic acid-Schiff positive neutral mucin favouring benign nature of lesion. We present this case due to its uncommon age of presentation and the patient was premenarchal girl.