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Pediatric Reports
Volume 11
Issue 3
10.4081/pr.2019.8190
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Pediatric Reports is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Treatment Strategy for Pediatric Giant Mucinous Cystadenoma: A Case Report

by
Shun Watanabe
1,2,*,
Shunsuke Nagashima
1,
Chihiro Onagi
1,
Nobuto Yamazaki
1,
Shuhei Shimada
1,
Masato Sakai
1,
Shun Yanai
3,
Yoichi Haga
3,
Akira Ohara
3 and
Minoru Kuroiwa
1
1
Department of Surgery, Toho University School of Medicine, Tokyo; First Department of Surgery, Dokkyo Medical University, Tochigi
2
Department of Surgery, Toho University School of Medicine, Tokyo
3
Department of Pediatrics, Toho University School of Medicine, Tokyo
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2019, 11(3), 8190; https://doi.org/10.4081/pr.2019.8190
Submission received: 3 June 2019 / Revised: 5 August 2019 / Accepted: 5 August 2019 / Published: 24 September 2019

Abstract

Because of their rarity, the treatment strategy for pediatric ovarian epithelial tumors is controversial, especially for a giant cystadenoma. We report the largest mucinous cystadenoma (MCA) case in the pediatric literature thus far. A 12-year-old girl had abdominal distention and visited our hospital. She had a multilocular cyst with some protuberance on the inside and high values of CA 19-9 and CA-125. We diagnosed her with a left MCA and performed a left oophorectomy. The tumor was the stage IA borderline malignant MCA and weighed 11.8 kg. Five years have passed, the patient has not experienced recurrence or metastasis. The resection of giant tumors can affect respiration and circulation. However, pre- or intra-operative drainage may lead to dissemination and adhesion. When we treat pediatric giant ovarian epithelial tumors, we must understand the findings that suggest the possibility of malignancy to decide appropriately as to whether drainage should be performed.
Keywords: pediatric surgery; ovarian cyst; mucinous cystadenoma; borderline malignancy pediatric surgery; ovarian cyst; mucinous cystadenoma; borderline malignancy

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MDPI and ACS Style

Watanabe, S.; Nagashima, S.; Onagi, C.; Yamazaki, N.; Shimada, S.; Sakai, M.; Yanai, S.; Haga, Y.; Ohara, A.; Kuroiwa, M. Treatment Strategy for Pediatric Giant Mucinous Cystadenoma: A Case Report. Pediatr. Rep. 2019, 11, 8190. https://doi.org/10.4081/pr.2019.8190

AMA Style

Watanabe S, Nagashima S, Onagi C, Yamazaki N, Shimada S, Sakai M, Yanai S, Haga Y, Ohara A, Kuroiwa M. Treatment Strategy for Pediatric Giant Mucinous Cystadenoma: A Case Report. Pediatric Reports. 2019; 11(3):8190. https://doi.org/10.4081/pr.2019.8190

Chicago/Turabian Style

Watanabe, Shun, Shunsuke Nagashima, Chihiro Onagi, Nobuto Yamazaki, Shuhei Shimada, Masato Sakai, Shun Yanai, Yoichi Haga, Akira Ohara, and Minoru Kuroiwa. 2019. "Treatment Strategy for Pediatric Giant Mucinous Cystadenoma: A Case Report" Pediatric Reports 11, no. 3: 8190. https://doi.org/10.4081/pr.2019.8190

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