Adv Pediatr Surg.  2021 Dec;27(2):46-53. 10.13029/aps.2021.27.2.46.

Case Series of Adolescent Ovarian Mucinous Cystadenocarcinoma, Single Center Experience

• Cho A
• Yang HB
• Kim HY

• KMID: 2525533
• DOI: http://doi.org/10.13029/aps.2021.27.2.46

Abstract

Purpose
Ovarian mucinous cystadenocarcinoma is rare in adolescent population and reports are scarce in Korea. The aim of this study was to identify the clinicopathologic features and prognosis of adolescent ovarian mucinous cystadenocarcinoma.
Methods
Adolescent patients who were diagnosed with ovarian mucinous cystadenocarcinoma between 2001 and 2012 in Seoul National University Children Hospital were included. We retrospectively reviewed medical records of demographics, preoperative evaluation, tumor characteristics, and prognosis of patients.
Results
Among 5 patients, none of them reported family history of cancer or underlying disease relevant to malignancy. The median follow-up period was 13.3 years. The mean age at the time of diagnosis was 15.4 years. The mean size of the tumor was 26 cm. Only one patient had neoadjuvant chemotherapy. All patients underwent surgical treatment. One patient underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy for cytoreductive surgery and 4 patients underwent fertility sparing surgery. Three patients had platinum-based adjuvant chemotherapy. One patient suffered recurrence and eventual death and 4 patients are in disease free survival status.
Conclusion
Although ovarian mucinous cystadenocarcinoma in adolescent is rare, we should suspect the presence of it in case of adolescent intraabdominal large mass. As adolescent patients undergo fertility preserving surgery, serial and careful follow-up is necessary.

Keyword

Ovary; Cystadenocarcinoma; Adolescents